Dense breast notification laws tied to more screening, cancer diagnoses

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(Reuters Health) - State laws requiring women with dense breasts to be told abou...

- State laws requiring women with dense breasts to be told about the benefits of following up a mammogram with further tests are associated with higher rates of additional screening and more diagnoses for breast cancer, a U.S. study finds.

Roughly half of U.S. women in their 40s and 50s have dense breast tissue, which increases their risk of breast cancer and makes it harder to detect tumors with mammography. Several states require healthcare providers to send notification letters to women whose mammograms show dense breast tissue. Some states also require that these higher-risk women be advised to get screened with ultrasound or MRI, which can better detect tumors in dense breast tissue.

“We found that dense breast notification laws were associated with small increases in cancer detection,” said lead study author Susan Busch of the Yale School of Public Health in New Haven, Connecticut. It’s not clear from the current study to what extent dense breast notification laws might lead to so-called over-diagnosis, which can cause women to undergo needless testing or treatments for relatively harmless tumors; it’s also not clear how many lives might be saved by catching aggressive cancers sooner when they’re easier to treat.

 

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It should be paid in full as it is preventative.

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