Mammograms causing overdiagnosis?
Dr. David Samadi explains
- Duration 3:54
- Date Nov 23, 2012
Dr. David Samadi explains
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Thanksgiving -- a controversial new study from The New England Journal of Medicine now claiming that mammograms have caused more than one million women to be treated for cancers that.
Would not being fatal.
The American Cancer Society recommends annual mammograms for women beginning at the age of forty.
Doctor -- -- body is a member of that Fox News medical eighteen and he joins us now with some more insight now.
This study does not say that they were misdiagnosed.
Just over -- -- missed.
Yes that's right this is actually city as you mentioned coming from new England journal of medicine.
Looking over the last three decades of thousands of men and women know what they're finding out is that mammogram.
Really doesn't reduce the rate of mortality and it's causing a lot of this stress and drama for a lot of women out there because -- over diagnose and being the fact that I mean the field of prostate cancer as you know breast cancer prostate cancer go parallel we've had the same kind of discussion about PSA.
Should be get -- -- should begin mammograms.
And I think in 2012.
Should be answered by saying that screening is vital we need that information so this is not a debate.
Whether we should get a mammogram or not that women shouldn't take from this study I don't need to go get an -- what that would do -- -- what I would tell them is that you should get the mammogram but they think that the -- -- medicine is to really individualized to care for example.
There are some of the people that have family history of having certain genes with breast cancer they may have -- this -- wanted to be RCA wanna be -- -- Doors are at high risk we should look at -- a lot more careful facility -- doesn't have family history.
They're also different -- of -- process chances are breast -- Heather some are very aggressive some of it done and what they're saying in this study is that some of those.
May not be really life threatening they may not kill you they may not cause you know the spread toward -- -- -- his.
So why should be good really go after them and find that it's -- -- is that we don't know at this point -- real biology of different type of cancers.
We don't know which one is gonna hurt somebody and which one is not -- that's what we do screening.
-- is screening cost money yes it costs a lot.
It can lead to over diagnose is as you mentioned but over diagnosis.
Does not have to be over treatment and that's where your doctor and they've.
Is plain tomato and we talked a little bit about this yesterday you get the screening done you get the mammogram.
And then they see a spotter an area that they know is in question -- you get a biopsy that's correct and then you decide whether or not you'd you'd get the cancer remains.
That's right so that you get the biopsy and are some cancers and breast cancer called doctoral carcinoma -- -- to.
And some people believe that these are not very aggressive even though they can progress.
To becoming aggressive and done some of them are -- or or or -- more aggressive -- cancer the question is should -- won't be treated or not.
And the answer is that the knee jerk reaction kind of mentality.
Or you know one size fits all it's bad medicine.
May be in that breast cancer.
Field we should not call these cancers anymore just like you -- a cancer some of these -- it cancers.
We basically say that there are very slow growing and we just watch them so they really there's a lot that goes into it.
Then just say hey get a mammogram or not that I question should be stuff.
-- information is important what we do with it there's a whole different thing -- -- -- a lot of people out there is find yourself an expert.
In the field of either breast cancer or prosecutors -- -- deal with this day in and day out.
I can individual as your -- really look -- use technology has changed dramatically as well perhaps getting an MRI in addition to mammograms can help us to screens all of those plays a big role but understanding the biology.
Looking at different kind of genes and this is developing so I think it's a good information.
But you have to be careful about how you interpret it thank you very much stock to somebody as always we appreciate injured -- your -- thank you so much break all right.