Staying Fit
A national panel of experts recommends that women bump up their breast cancer screenings by a decade and start getting regular mammograms at 40, rather than 50, and continue with them every other year through age 74.
The new draft recommendation from the U.S. Preventive Services Task Force is based on emerging research that shows the switch could save roughly 8,000 lives each year. Breast cancer is the second-most-common cancer in women, affecting more than 264,000 each year. It’s also one of the deadliest, according to the National Cancer Institute, claiming the lives of more than 43,000 annually.
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While most breast cancers are diagnosed in people over age 50, radiologist Toma Omofoye, M.D., says we’re seeing the cancer more often in younger adults, though researchers aren’t clear on why. “So, it’s important to make sure that our guidelines match the timelines to find the cancers at their smaller sizes,” when treatment is more likely to be successful, says Omofoye, an associate professor in the Department of Breast Imaging at the University of Texas MD Anderson Cancer Center in Houston.
What’s more, breast cancers diagnosed in younger women tend to be more aggressive, and therefore may grow faster, says Maxine S. Jochelson, M.D., chief of the Breast Imaging Service at Memorial Sloan Kettering Cancer Center in New York City.
The task force notes that the change could have a positive impact especially on Black women, who are 40 percent more likely to die from breast cancer than white women, and who are more likely to be diagnosed with breast cancer before age 50. Research shows Black women are also more likely to have aggressive subtypes of breast cancer than their white counterparts.
While many factors feed into this striking disparity, Omofoye says Black women often experience delays on the care continuum — from diagnosis to treatment. “And I think that since we know that Black women do have more delays in general, it’s important that we give them access to care earlier, rather than later,” she adds.
Task force vice chair Wanda Nicholson, M.D., says in a statement that ensuring Black women start screening at age 40 is an important first step, but that more needs to be done to improve the inequities we’re seeing.
“In our draft recommendation, we underscore the importance of equitable follow-up after screening and timely and effective treatment of breast cancer and are urgently calling for more research on how to improve the health of Black women,” says Nicholson, who is with the Milken Institute School of Public Health at George Washington University.
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