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☆ Opinion | Getting Screened Early for Breast Cancer
▼ + stars: | 2023-05-29 | by ( ) www.nytimes.com time to read: +1 min

Overtreatment, No,” by Mehra Golshan (Opinion guest essay, May 18):When I was 44, my routine annual screening mammogram detected a distortion that turned out to be a highly aggressive and dangerous form of breast cancer. Fortunately, because I was screened annually, it was caught at an early stage and was treated with a combination of surgery, chemotherapy and radiation. Now that I’m well into my 60s, I’m grateful every day for the mammogram that caught that deadly cancer early enough to save my life. Statistically, annual mammogram screening for breast cancer before age 50 may not “save enough lives,” but it surely saved mine. Deborah SchuenemanFarmington Hills, Mich.To the Editor:Like Dr. Mehra Golshan, I am a breast cancer surgeon, and I wholeheartedly agree with his view of the new screening guidelines.

☆ Opinion | How to Think About the New Breast Cancer Screening Guidelines
▼ + stars: | 2023-05-16 | by ( Mehra Golshan | ) www.nytimes.com time to read: +3 min

We have also learned over time that not all breast cancer tumors grow or spread at the same rate. For example, a type of breast cancer that I’ve studied, called ductal carcinoma in situ — also known as stage 0 breast cancer — may never progress to invasive disease in a person’s lifetime, and so may require less therapy. Detecting cancer becomes more challenging when trying to distinguish cancer, which also appears white on a mammogram, from dense breast tissue. The task force acknowledged that dense breasts can increase a woman’s risk of breast cancer and that certain race or ethnicity groups are at higher risk for early-onset breast cancer. Black women under 50, for example, die of breast cancer at twice the rate of white women under 50 in the United States.

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