Annual mammography screening is credited with a significant reduction in breast cancer mortality in women older than 50, and is considered a pillar of routine healthcare maintenance in most populations. Sensitivity, specificity, and optimal performance of mammography depend on a number of variables including breast density.
While subjective and objective increases in mammographic breast density have been reported in up to 30 percent of postmenopausal women taking HT, the majority of women in this age group have low breast densities to start with and the magnitude of the increase with HT is small in most. Furthermore, improvements in screening technologies (digital mammography) have shown promise in overcoming hindrances in denser breasts. It is thus extremely unlikely that a minor increase in density is going to mask the mammographic detection of any early breast cancer if present.
"We do not believe everyone on HT should consider stopping treatment one to two months prior to their mammogram," said lead author Raja Sayegh, MD, an associate professor of obstetrics and gynecology at BUSM. "Such a practice is likely to precipitate the recurrence of nuisance symptoms for which most menopausal women take HT nowadays, with no convincing evidence of improved screening accuracy. While there may be other good reasons to consider stopping HT, improving the mammographic detection of early cancers should not be one of them," he added.
Instead, the researchers recommend that health care providers should alert their HT patients to the possibility of an augmented mammographic density, or other artifacts, that may require additional evaluation. "This should become part of the office routine, as it has become part of mammography reporting routine. Women who have thus been alerted, are less likely to be ridden with fear and anxiety when they receive a recall notice from the mammography department," said Sayegh.
Gina DiGravio | EurekAlert!
Team discovers how bacteria exploit a chink in the body's armor
20.01.2017 | University of Illinois at Urbana-Champaign
Rabies viruses reveal wiring in transparent brains
19.01.2017 | Rheinische Friedrich-Wilhelms-Universität Bonn
An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...
Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...
Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.
While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...
Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales
Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...
Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.
As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...
19.01.2017 | Event News
10.01.2017 | Event News
09.01.2017 | Event News
20.01.2017 | Awards Funding
20.01.2017 | Materials Sciences
20.01.2017 | Life Sciences