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Suspicious Mammograms Are Often False Alarms
Women at high risk for breast cancer are virtually guaranteed to receive a false-positive
or "suspicious" mammography result at least once during 10 years
of routine screening, reveals a Boston University School of Public Health study,
which found that cysts or swollen glands were often the cause for confusion.
Researchers say the use of estrogen therapy, a lack of previous X-rays (to
compare results), a family history of breast cancer, age factors, and varying
levels of skill among radiologists can all increase a woman's risk of having
an abnormal result.
If more women knew how common false-positive results are, there
might be less stress and anxiety while waiting to undergo further
diagnostic tests, which sometimes take weeks. Most importantly,
greater educational initiatives focusing on the role of diet and
lifestyle in breast cancer prevention would empower women to protect
themselves rather than relying solely on early detection of the
disease.
Christiansen CF, Wang L, Barton MB, et al. Predicting the
cumulative risk of false-positive mammograms. J Natl Cancer Inst.
2000;92:1657-66.

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