Breast Checks, Mammograms and The US Preventive Services Task Force
In a recent CNN article, By Elizabeth Landau, CNN
November 17, 2009 3:40 p.m. EST It reads:
"New guidelines from the U.S. Preventive Services Task Force say that women age 40 to 49 don't need to have routine mammograms anymore and that breast self-exams aren't recommended in general. The group found no evidence that self-exams reduce breast cancer death rates, and it discourages teaching women how to examine themselves."
I have a question...
So the USPSTF is telling me that self exams do not reduce cancer death rates. OK... but how does stopping self exams decrease the cancer death rate? It's a flawed correlation.
The whole reason we fund research is so we can reduce the cancer death rate. No one has figured out how to kill cancer so it doesn't kill us. I think it's illogical to suggest that discouraging self breast checks and reducing mammograms is a step towards the end goal of eradicating cancer.
The real question should be: What is the corellation between early detection and life expectancy? We all die of something and if cancer (and all the treatments) have weakened the body in the past, cancer may very well be the EVENTUAL cause of death.
HOWEVER (and this is a big huge HOWEVER) early detection is a key component to A LONGER LIFE. Cancer grows and spreads, so finding it early MATTERS. Cancer can be cleaned out of our body for a time, and while it might kill eventually (= previously mentioned cancer death rate) catching it early can drastically increase how long we live!
Alas, apparently the "emotional weight" of doing self exams is way too much for all us sensitive women folk. Yah, it's in the article.
Excuse me?
The implication that we as women are too weak and/or too ignorant to perform a self breast exam so we just needn't bother is not only denial at its best but also offensive.
I have another question...
The article suggests that generally, women should be aware of their bodies and should notice something like a lump on their breasts the same way they would notice a change on one of their arms.
Just curious: does the person making these "recommendations" have an arm AND a breast? In case not, I want take a moment to explain a couple of important differences.
1) Generally speaking, breasts are circular and round, fleshy and full. A great place for cancer to hide out unseen for awhile. Arms... yah, not really the same thing.
2) There's this thing called BREAST Cancer, that arms don't get. Hence the reasons for mammograms, and not armmograms.
Hope clears things up a bit.
But WHY OH WHY as women would we subject ourselves to the emotional and intellectual drain of self breast exams anyway? The article clearly states that what might be discovered is probably not cancer. "those who did check themselves had almost twice as many biopsies with benign results as those who did not." Let me get this straight: are we hearing a human life is not worth the cost of a biopsy if the odds (imposed by a control group studied at a certain point in time and place) dictate that it is probably not cancer?
Attention: IT COULD BE CANCER! That's why we do a biopsy.
PS: A human life is worth the cost of a biopsy - even if the same person EVENTUALLY dies from cancer.
OK, I have another question.
Let's say I'm younger than 50 and I'm an EXTRA brave woman who can handle the intellectual strain and emotional pressure of preventative breast care and I find a lump.
OH NO, I did a self breast exam unsanctioned by the U.S. Preventive Services Task Force! Shame on me for checking my breasts by myself. Shame on me for finding a lump that's twice as likely to be benign. Shame on me for finding it before my yearly approved mammogram during my post 50 years of life! Shame on me for wanting to test it and see if I need to have it removed or not.
Should I tell my doctor?
After all, I was not following approved USPSTF recommended breast awareness behavior. Will I get care, or is there a special holding cell for rogue breast checkers like myself?
Just thought I'd ask.



