Bangalore: A recent study by the US preventive services task force
suggests that women should go in for regular screening for breast cancer only
after 50, as opposed to the long-standing guidelines that say 40 is the right
age to start the same.
However, city oncologists have negated this recommendation, stating that an
increasing number of young women are falling victim to this disease. Doctors
said that 40% of breast cancer patients in Bangalore are below 50 years of age.
According to Dr BS Ajai Kumar, oncologist, chairman and CEO, HealthCare Global
Enterprises Ltd, while those with no family history of breast cancer can start
screening for the disease post 45 years, those with such a family history must
undergo mammogram after 40. "Those who have a multiple family history of breast
cancer should start even earlier, say by 35. However, they can get screened once
in two years," he said.
One in every 14 women face the risk of developing breast cancer. Globally,
incidences of breast cancer are 25 to 30 per thousand population. And the latest
Indian statistics reveal that one in every 22 women develop breast cancer.
"Incidences of breast cancer is more in urban India. A recent study shows that
one in every 12 women in the cities develops breast cancer, with 40% of them
being below 45 years of age," said Dr Ajai.
However, the US task force's recommendations are more to reduce the harm from
over-treatment. They also state that women between the ages of 50 and 74 should
get mammograms done once in two years, rather than the general practice of
annual screening. "The US group is concerned about the high number of false
positive cases. If digital mammogram is followed, risk of false positive cases
is rare," said Dr Ajai.
While it is said that there can be radiation induced damages, including
malignancy, if mammogram is done regularly, practically the radiation dose is so
mild that if a woman undergoes mammogram from 40 years of age till 70, once a
year, there won't be any adverse effect, said Dr Poonam Patil, consultant
medical oncologist, Manipal Hospital.
Source : DNA