Uncover The Truth: Everything You Need To Know About Breast Screening!

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Uncover The Truth: Everything You Need To Know About Breast Screening!

Рет қаралды 2,085

Күн бұрын

In this video I'm going to answer all your questions about breast screening - Why you need it? Does it really save lives? Can it cause harm? Does it really cause breast cancer? How do you decide whether to go for a mammogram?
I'm Dr Liz O'Riordan, a breast cancer surgeon who's had breast cancer three times. I'm an expert in all things breast cancer. If you've got a question - I'll answer it for you
00:00 Intro
00:27 Why do we do breast screening?
01:13 Are there any other benefits of breast screening?
01:23 What are the downsides of breast screening?
02:32 How many cancers does breast screening pick up
03:17 How many lives does the breast screening save?
03:57 How do you decide whether to have breast screening?
04:38 What age does breast screening start?
05:03 Do you still need to check your breasts after a normal mammogram?
05:23 Are mammograms dangerous?

Пікірлер: 43

@vald2427 3 ай бұрын

Thank you again for such an informative video. My screening mammogram saved my life. It identified invasive cancer which I couldn’t feel, because it was very close to my chest wall. Surgery, Radiotherapy and 5 years of AI treatment, I’m still alive and disease free over 5years later. I encourage all my friends to make sure they attend their appointments.

@LB-zc1hj 3 ай бұрын

It worked for me, I was diagnosed at 68 after a routine mammogram with invasive breast cancer which was 2.4 cms I had large breasts and couldn’t feel it. No one in my family has had breast cancer so it was a bit of a shock. All sorted now thanks to a brilliant female breast surgeon.

@whatsthestorymorningglory61 3 ай бұрын

My mammography was rough. The tech seemed to be very angry with me, as I was scared and ashamed by the process and obviously didn’t know where to put my arms correctly. Then the news was brought to me that my breasts are very dense and they couldn’t see anything. The ultrasound cleared me though so I was very grateful.

@Sarappreciates 3 ай бұрын

It's okay to tel their supervisor. I have breast cancer, and I don't wanna ever be stuck with a tech like that!! If you see something rude in a medical office, I'd report it. Sometimes bedside manner can't be taught, but sometimes it can, you know what I mean?

@CJenkinsMusicLover 3 ай бұрын

Please ask for your Dense Breast rating. A, B, C, or D. The approach varies. Visit Dense Breasts Canada.

@QuixoticBlackCat 3 ай бұрын

mammogram harms are real. dr. idiot. We are going to refuse and stop following you. Veneta Masson, a 71-year-old nurse practitioner in Washington, DC, had her last mammogram at the age of 56. After reviewing the scientific literature, Masson decided there wasn't enough benefit to regular screening to warrant the risks, and she opted out-for good-even though her sister had been diagnosed with breast cancer in her early 40s and later died of the disease in 1997. "It's this search for answers and 20 years of experience caring for women...that led me to decide that I could no longer endorse the tests as routine screening measures for me or any other woman," she wrote in the journal Health Affairs in 2010. "Breast cancer is just as treatable and just as deadly regardless of screening. I've opted out of routine screening." She wouldn't have had to opt out of screening if there was a contrast-free, radiation-free technology that she could be scanned with available like #DWMRI. www.prevention.com/health/a20466779/the-trouble-with-getting-a-mammogram-at-40/

@Sarappreciates 3 ай бұрын

I have pretty dense breasts, which was admittedly an issue, but my mammogram still detected my tumor that turned out to be stage 4, so it's hard to be anything less than biased. It still saved me. I can't speak for everyone, but it's really hard for me to ignore that when nobody could "feel" any kind of lump due to my having "lumpy (dense) breasts." My only real "symptom" was fatigue and a little radiating pain along that side of my body, which was easy to wave off as just aches.

@TheProactivePatients 3 ай бұрын

There are also ACS recommendations, NCCN recommendations and others. In the US, insurance generally pays for annual mammograms from age 40. And then there are the women with a family history, which increases a woman's risk even if they have not inherited a known hereditary form. Any woman with a lifetime risk at 20% or higher based on models that take into account family history (tyrer-cuzick, BRCApro, CanRisk, etc, but not Gail) should do an annual breast MRI in addition to annual mammograms. This should start at 30-40 years old depending on what guideline you are looking at.

@queensgambit872 3 ай бұрын

Agree, Mammograms do nothing for those of us with dense breasts. Oliva Munn has been reporting on this a lot lately. Apparently Dr. Liz is unaware of this news. Very sad that anyone with dense breasts would be forced to get a mammogram at all since it is only useless radiation exposure. I will continue to refuse them completely. I only do MRI. See the studies below for yourself because super smart researchers, not idiots, are questioning mammograms harms too. Let's end the breast smashing, the trauma, the false negatives and positives, and the ionizing radiation of mammograms and the name calling from Dr. Liz!! Now that there is better technology available, why wouldn't we? Let old school retired docs like Dr Liz go retire their old school outdated ways. There is proof that mammograms cause harms that cannot be ignored any longer, especially now that younger women must get screened. If you are not aware of this or are calling others who bring this into quesiton bad names, shame on you!  Elmore JG, Fletcher SW. Overdiagnosis in breast cancer screening: time to tackle an underappreciated harm. Ann Intern Med. 2012 Apr 3;156(7):536-7. doi: 10.7326/0003-4819-156-7-201204030-00012. PMID: 22473439; PMCID: PMC5857941. Isaac Allen et al. Risks of second primary cancers among 584,965 female and male breast cancer survivors in England: a 25-year retrospective cohort study, The Lancet Regional Health - Europe (2024). DOI: 10.1016/j.lanepe.2024.100903  Miglioretti DL, Lange J, van den Broek JJ, Lee CI, van Ravesteyn NT, Ritley D, Kerlikowske K, Fenton JJ, Melnikow J, de Koning HJ, Hubbard RA. Radiation-Induced Breast Cancer Incidence and Mortality From Digital Mammography Screening: A Modeling Study. Ann Intern Med. 2016 Feb 16;164(4):205-14. doi: 10.7326/M15-1241. Epub 2016 Jan 12. PMID: 26756460; PMCID: PMC4878445. Gøtzsche PC. Mammography screening is harmful and should be abandoned. J R Soc Med. 2015 Sep;108(9):341-5. doi: 10.1177/0141076815602452. PMID: 26359135; PMCID: PMC4582264  Yeom YK, Chae EY, Kim HH, Cha JH, Shin HJ, Choi WJ. Screening mammography for second breast cancers in women with history of early-stage breast cancer: factors and causes associated with non-detection. BMC Med Imaging. 2019 Jan 5;19(1):2. doi: 10.1186/s12880-018-0303-3. PMID: 30611228; PMCID: PMC6321714.  Furthermore, the introduction of diffusion-weighted MRI (DWI) has increased the potential for the detection of malignancies throughout the body.5 5. Lambregts DM, Maas M, Cappendijk VC, Prompers LM, Mottaghy FM, Beets GL, et al. Whole-body diffusion-weighted magnetic resonance imaging: Current evidence in oncology and potential role in colorectal cancer staging. Eur J Cancer. 2011;47:2107-16. [PubMed] [Google Scholar] The added value of whole-body magnetic resonance imaging in the management of patients with advanced breast cancer. journals.plos.org/plosone/article?id=10.1371/journal.pone.0205251 In conclusion, WB-MRI disclosed PD earlier than the control examination (CT-CAP or PET/CT), and it was responsible alone for 50% of all changes in treatment. journals.plos.org/plosone/article?id=10.1371/journal.pone.0205251

@QuixoticBlackCat 3 ай бұрын

@Sarappreciates 3 ай бұрын

Also, in the USA if you don't have access to or knowledge of your family medical history, you qualify for grants to help pay for your BRCA1 test. I was adopted, so I qualified.

@MMargaretRiley 3 ай бұрын

Thank you, Dr. Liz, for a very clear presentation of the facts.

@QuixoticBlackCat 3 ай бұрын

mammogram harms are real. tell dr. idiot. We are going to refuse and stop following you. Veneta Masson, a 71-year-old nurse practitioner in Washington, DC, had her last mammogram at the age of 56. After reviewing the scientific literature, Masson decided there wasn't enough benefit to regular screening to warrant the risks, and she opted out-for good-even though her sister had been diagnosed with breast cancer in her early 40s and later died of the disease in 1997. "It's this search for answers and 20 years of experience caring for women...that led me to decide that I could no longer endorse the tests as routine screening measures for me or any other woman," she wrote in the journal Health Affairs in 2010. "Breast cancer is just as treatable and just as deadly regardless of screening. I've opted out of routine screening." She wouldn't have had to opt out of screening if there was a contrast-free, radiation-free technology that she could be scanned with available like #DWMRI. www.prevention.com/health/a20466779/the-trouble-with-getting-a-mammogram-at-40/

@geraldinegil469 3 ай бұрын

I just met someone who had only dcis of 4cm (and not an invasive tumour) that was her2+ and hormone negative six years ago and had a mastectomy and now this year it has spread to her lungs and bones, so dcis can and does spread in my opinion!

@jacquelinehurst8167 3 ай бұрын

Thank you Dr Liz for the explanation ❤

@deborahbizzell1989 14 күн бұрын

I am a patient who had a mammogram 12/19 the letter came saying it was normal.3 months later I had a dark area under my armpit.I had a biopsy and they found a 1.5 cm.tumor with an involved skin area of 1 cm.I was going in every 12 months for testing,now it is advanced.

@melindavalle173 3 ай бұрын

Thank you for all the work you do.❤

@QuixoticBlackCat 3 ай бұрын

@Marlene-tb5pi 3 ай бұрын

Thanks for your wonderful videos. I had breast cancer 4 years ago and was lucky it was stage 1 invasive ductal carcinoma. I hope you are feeling better.

@erbiumfiber 3 ай бұрын

I had a 3-D mammogram and ultrasound, all very detailed and...nothing. My breast cancer was literally between my breasts, very much attached to the pectoral muscle and very strange. And I got tired of hearing people say, "well didn't you have a mammogram?" Yes, yes, I did and it was "normal." There was an indent in the skin along the bra line (thought it was an irritation but it didn't go away) and got it biopsied. So...yeah. Now it's been a year (post surgery and radiation) and trying to figure out what screening they will do now since mammogram won't really show this region (still). So even if you do everything "right" still can happen and let's not rip on people who didn't catch it sooner (2.5 cm tumor, margins "postive" after surgery-still some cancer cells in the pectoral muscle, hope radiation zapped it). Am 60 and this was in TW (I am American).

@trudybutcher6713 2 ай бұрын

Hi Dr Liz. Hope you are well. I have mestatic cancer and recently started on everolimus and exemestane. Can you kindly speak on this treatment. Many thanks

@Sarappreciates 3 ай бұрын

I think it's worth the screening if it's in your family, for sure! Also, if you don't have your family history info, then it's very worth it. My DNA screening came back "inconclusive," so we treat it like a "negative" result. Later I learned that my great aunt died of breast cancer, but this hasn't changed my cancer treatment. Mammogram is how my stage 4 cancer was first detected, so it's hard for me not to feel kinda biased for the screening. It saved my life.

@jomortonbrown 2 ай бұрын

Great guidance, as always ❤

@DrLizORiordan 2 ай бұрын

Thank you!

@simplyjane92 3 күн бұрын

What if you go in for a painful spot right below your breast and they don’t see anything but they do see what radiologist believe are micro calcifications and they say they recommend more imaging in 6 months? And you are 35 years old and they also say you have dense breast tissue would it be safe to wait or go get additional testing now?

@lindalittle6802 3 ай бұрын

Thank you.

@moramejia88 3 ай бұрын

I had a diagnostic mammogram and ultrasound 2 days ago. ( small breast ) the lady said super dense breast. They took tons of pics. Told me i have calcifications. And ultrasound found 2 cyst ( no need for biopsy) tho i need a 6 month follow up for the calcifications. No biopsy for now. Should I worry?

@QuixoticBlackCat 3 ай бұрын

@Sarappreciates 3 ай бұрын

That sounds really good. Calcification is normal in dense breasts. I have dense breast tissue too. I also have cancer, which my mammogram detected. I think as long as you have no pain or symptoms, you are likely fine so long as your doctor says.

@moramejia88 3 ай бұрын

@@Sarappreciates good to know . how are u doing? I hope your treatment is working and you heal soon :)

@Sarappreciates 3 ай бұрын

@@moramejia88 Thanks! I was diagnosed 4 years ago, and I've only needed to change treatment once, which was just a few months ago. We'll see how this new treatment works on the next scan this summer.

@moramejia88 3 ай бұрын

@@Sarappreciates I hope u don't need more treatment :) wishing you the best :)

@nowhere982 2 ай бұрын

Which is more accurate, mammogram or ultra sound or mri. I have very small breasts and find mammograms excruciating.

@TheMic74key 3 ай бұрын

I had my first mammogram at 48 when my melanoma oncologist said I needed to get my mammogram and they found a stage one her2 positive BC….currently undergoing treatment….no genetic history yet my grandmother died from BC that she first got at 46 and my sister was diagnosed with BC at 47…but my sisters was ER positive….so it’s confusing

@13mrfred 2 ай бұрын

Can males get breast cancer as well? Just a bit curious about this! Thank you!

@geminilondon5454 28 күн бұрын

Yes, they can. My own father was diagnosed in 2019 at 84, still alive 5 years later.

@mssdn8976 2 ай бұрын

I have only just found out my birth mother’s cause of death, as I was adopted. It was disseminated lung malignancy. I wonder if she had breast cancer and it metastatised to her lungs. I was diagnosed with ER+ breast cancer three years ago, stage 1/2. I decided to stop taking AI’s because of debilitating side effects, with the approval of my oncologist. I’m always worrying that it will return