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#72066 - 11/22/09 09:18 AM Re: New mammogram guidelines [Re: DocM]
Path201X Offline
Super Elite Member

Registered: 09/14/03
Posts: 2398
Loc: Gaithersburg, MD
Originally Posted By: DocM
I would ask that you respect mine as board certified medical oncologist that has personally taken care of more breast cancer patients than I can count and seen far too many of them die.........The USPSTF recommends against routine screening mammography in women aged 40 to 49 years. The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.

I respect ALL profesisonals regardless of what letters are behind their name. That said, unless a Physician's patient population includes a significant number of women of color, I personaly find it pretty difficult for that doctor to make any type of recommendations based on current data since so much of it excluded women of color from their studies. No disrespect intended, I'm simply stating a fact.

No matter what the acronym associated with the organization, it's a fact widely held among breast Oncologists who have patient populations with a great number of women of color, that baseline mammograms should begin at age 35 NOT 40, and that the age should be 30 for women with family histories of breast cancer.

So I do believe with are in agreement if the basic premise of the recommendations, however where we disgaree is with what women of color should do as it relates to breast health.
_________________________
Future MD or DO, PhD
Blog-o
http://path201x.blogspot.com/


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#72070 - 11/22/09 11:06 AM Re: New mammogram guidelines [Re: Path201X]
DocM Offline
Elite Member

Registered: 01/28/08
Posts: 155
Loc: US
Fair enough. We do need better information regarding who to screen and who to treat, and more importantly, to disseminate this information. So kudos to you for your efforts in battling this disease.

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#72074 - 11/22/09 03:21 PM Re: New mammogram guidelines [Re: DocM]
DocM Offline
Elite Member

Registered: 01/28/08
Posts: 155
Loc: US
pathdr2b - here's an excellent review on the topic of breast cancer in African American women, clearly an area that needs more research, in case you haven't read it already:

http://theoncologist.alphamedpress.org/cgi/content/full/10/1/1


Edited by DocM (11/22/09 04:05 PM)

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#72374 - 12/26/09 02:04 AM Re: New mammogram guidelines [Re: DocM]
Path201X Offline
Super Elite Member

Registered: 09/14/03
Posts: 2398
Loc: Gaithersburg, MD
I just want to add that many major organizations involved in breast cancer research do NOT support the reccomendations of this study.

Susan G Komen and the Lombardi Cancer Center of Georgetown University are 2 such organizations.
_________________________
Future MD or DO, PhD
Blog-o
http://path201x.blogspot.com/


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