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Cancer Society, in Shift, Has Concerns on Screenings
NY Times ^ | October 21, 2009 | GINA KOLATA

Posted on 10/21/2009 11:57:58 AM PDT by neverdem

The American Cancer Society, which has long been a staunch defender of most cancer screening, is now saying that the benefits of detecting many cancers, especially breast and prostate, have been overstated.

It is quietly working on a message, to put on its Web site early next year, to emphasize that screening for breast and prostate cancer and certain other cancers can come with a real risk of overtreating many small cancers while missing cancers that are deadly...

--snip--

The new analysis — by Dr. Laura Esserman, a professor of surgery and radiology at the University of California, San Francisco, and director of the Carol Frank Buck Breast Care Center there, and Dr. Ian Thompson, professor and chairman of the department of urology at The University of Texas Health Science Center, San Antonio — finds that prostate cancer screening and breast cancer screening are not so different...

--snip--

Dr. Peter Albertsen, chief and program director of the urology division at the University of Connecticut Health Center, said that had not been an easy message to get across. “Politically, it’s almost unacceptable,” Dr. Albertsen said. “If you question overdiagnosis in breast cancer, you are against women. If you question overdiagnosis in prostate cancer, you are against men.”

Dr. Esserman hopes that as research continues on how to advance beyond screening, distinguishing innocuous tumors from dangerous ones, people will be more realistic about what screening can do.

“Someone may say, ‘I don’t want to be screened’ ” she said. “Another person may say, ‘Of course I want to be screened.’ Just like everything in medicine, there is no free lunch. For every intervention, there are complications and problems.”

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Front Page News; News/Current Events; Testing
KEYWORDS: acs; breastcancer; cancer; cancerscreening; prostatecancer
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Rethinking Screening for Breast Cancer and Prostate Cancer

After 20 years of screening for breast and prostate cancer, several observations can be made. First, the incidence of these cancers increased after the introduction of screening but has never returned to prescreening levels. Second, the increase in the relative fraction of early stage cancers has increased. Third, the incidence of regional cancers has not decreased at a commensurate rate. One possible explanation is that screening may be increasing the burden of low-risk cancers without significantly reducing the burden of more aggressively growing cancers and therefore not resulting in the anticipated reduction in cancer mortality. To reduce morbidity and mortality from prostate cancer and breast cancer, new approaches for screening, early detection, and prevention for both diseases should be considered.

How convenient?

1 posted on 10/21/2009 11:57:59 AM PDT by neverdem
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To: neverdem

ObamaCare all ready Begun!


2 posted on 10/21/2009 11:58:47 AM PDT by classified
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To: neverdem

Fall in line with da furher, let my people die! ObamaCare shall save cash, while funneling power to the Furher.

All hail the furher.

Am I spelling furher right?


3 posted on 10/21/2009 12:01:19 PM PDT by GeronL (http://tyrannysentinel.blogspot.com)
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To: neverdem

I mean who wants to know if the have early stage cancer anyways...right?


4 posted on 10/21/2009 12:01:38 PM PDT by NMEwithin
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To: neverdem

Yes, perfect timing.

Now Obama can reference the American Cancer Society as proof that rationing is justified.


5 posted on 10/21/2009 12:02:08 PM PDT by randita (Chains you can bereave in.)
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To: neverdem

Bull. Cancers vary, many types of prostate cancer, some will never kill you and some will kill quickly.
This reminds me of when Sec Sebilius announced 60,000 people might die of H1N1. Not based on CDC, but the WH “scientests”.The media pretty much blew it off, I believe because they recognized it to be an attempt to change the subject.
They all make me ill.
Twitter from Beck, more marxists apparently to be documented on his show today.


6 posted on 10/21/2009 12:02:27 PM PDT by libbylu ( Palin begins from Wasilla not only a campaign, an Iditarod of a crusade ....YEAH!)
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To: neverdem

Is there a category after flabbergasted?

I’m there.


7 posted on 10/21/2009 12:03:31 PM PDT by SE Mom (Proud mom of an Iraq war combat vet)
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To: classified
Yes, it has already began! My in-laws have Advantra(?) and they have been notified their Dr. visit to see the podiatrist will no longer be $60.00 for both to visit, it will now be $120 out of their pocket. My mother-in-law is diabetic and uses insulin. The cost of this for one vile has gone from $10 to $60. They will have to now go on Medicare.
8 posted on 10/21/2009 12:04:07 PM PDT by elephant
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To: neverdem

I read similar articles before. I also suspected they were cutting people up, unnecessarily. This was another way they protected their own butts...at YOUR expense of losing a breast.

Dont you recall they used to remove entire breasts and now, in many cases they just remove the lump?

In this day and age, with ambulance chasing lawyers, doctors are very quick to do whatever it takes not to get sued. We as patients, cant make decisions because we dont know if they are doing things for us, or themselves.

I know a person who just had a lumpectomy and was asked if she wanted that, or the entire breast removed. Now, if the dr thought it was safe to have either..why ask? Because, if anything happens to this woman..it was her own choice.

I dont trust anybody and keep as far away from the medical profession as I can.


9 posted on 10/21/2009 12:08:39 PM PDT by New Yawk Minute
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To: classified
I read the whole article carefully and concluded it's Obamacare propaganda. The question not answered is: what is the downside to having a mammogram every year?
10 posted on 10/21/2009 12:10:35 PM PDT by utahagen
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To: utahagen

radiation exposure?


11 posted on 10/21/2009 12:11:09 PM PDT by browniexyz
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To: GeronL
Der Fuhrer's Face

H is before the first R in Fuhrer.

12 posted on 10/21/2009 12:11:53 PM PDT by neverdem (Xin loi minh oi)
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To: neverdem

thanks


13 posted on 10/21/2009 12:13:24 PM PDT by GeronL (http://tyrannysentinel.blogspot.com)
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To: neverdem

Sellouts. They are all nothing but sellouts.


14 posted on 10/21/2009 12:17:45 PM PDT by YHAOS
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To: browniexyz
I guess that's the downside. However, if a woman starts having annual mammograms at age 30, how much damage could that really do after, say, fifteen years? I can't imagine the danger of radiation would be greater than the danger of breast cancer. I know several women between ages 30 and 45 who have had breast cancer, but I don't know any woman of any age who has had radiation damage. I suspect this is about Obamacare not wanting to pay for annual mammograms.
15 posted on 10/21/2009 12:17:55 PM PDT by utahagen
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To: neverdem


Ze reichspuss says "it's spelled fur-her".
16 posted on 10/21/2009 12:19:43 PM PDT by chuck_the_tv_out ( <<< click my name: now featuring Freeper classifieds)
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To: YHAOS

You got it, this is purely political. These libs are a bunch of damn traitors.


17 posted on 10/21/2009 12:19:47 PM PDT by east1234 (It's the borders stupid! My new environmentalist inspired tagline: cut, kill, dig and drill)
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To: utahagen

How do you know those cancers werent from radiating the breasts every year.

Years ago..you never heard of this many women with breast cancer.

So..I conclude..whatever they are seeing is being removed whether necessary or not..or all of this radiation is doing it.


18 posted on 10/21/2009 12:20:08 PM PDT by New Yawk Minute
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To: neverdem

Would Dr Esserman like to live with a teeny tiny breast cancer tumor?


19 posted on 10/21/2009 12:20:34 PM PDT by silverleaf ("For America today, decline is not a condition. Decline is a choice"- Krauthammer)
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To: silverleaf
Would Dr Esserman like to live with a teeny tiny breast cancer tumor?

There's no way to tell. But I get a free copy of JAMA weekly even though I don't subscribe. It will be interesting to check who funded the story. JAMA selectively makes some stories open access to the public. I find it interesting that they didn't make this one open access.

It's a real pity how the left has politicized science and medicine.

20 posted on 10/21/2009 12:52:09 PM PDT by neverdem (Xin loi minh oi)
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