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At what age should screening mammography be recommended for Asian women?

Although regular screening mammography has been suggested to be associated with improvements in the relative survival of breast cancer in recent years, the appropriate age to start screening mammography remains controversial. In November 2009, the United States Preventive Service Task Force publishe...

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Autores principales: Tsuchida, Junko, Nagahashi, Masayuki, Rashid, Omar M, Takabe, Kazuaki, Wakai, Toshifumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4529351/
https://www.ncbi.nlm.nih.gov/pubmed/25914223
http://dx.doi.org/10.1002/cam4.468
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author Tsuchida, Junko
Nagahashi, Masayuki
Rashid, Omar M
Takabe, Kazuaki
Wakai, Toshifumi
author_facet Tsuchida, Junko
Nagahashi, Masayuki
Rashid, Omar M
Takabe, Kazuaki
Wakai, Toshifumi
author_sort Tsuchida, Junko
collection PubMed
description Although regular screening mammography has been suggested to be associated with improvements in the relative survival of breast cancer in recent years, the appropriate age to start screening mammography remains controversial. In November 2009, the United States Preventive Service Task Force published updated guidelines for breast cancer, which no longer support routine screening mammography for women aged 40–49 years, but instead, defer the choice of screening in that age group to the patient and physician. The age to begin screening differs between guidelines, including those from the Task Force, the American Cancer Society and the World Health Organization. It remains unclear how this discrepancy impacts patient survival, especially among certain subpopulations. Although the biological characteristics of breast cancer and peak age of incidence differ among different ethnic populations, there have been few reports that evaluate the starting age for screening mammography based on ethnicity. Here, we discuss the benefits and harm of screening mammography in the fifth decade, and re-evaluate the starting age for screening mammography taking ethnicity into account, focusing on the Asian population. Breast cancer incidence peaked in the fifth decade in Asian women, which has been thought to be due to a combination of biological and environmental factors. Previous reports suggest that Asian women in their 40s may receive more benefit and less harm from screening mammography than the age-matched non-Asian US population. Therefore, starting screening mammography at age 40 may be beneficial for women of Asian ethnicity in well-resourced countries, such as Japanese women who reside in Japan.
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spelling pubmed-45293512015-08-13 At what age should screening mammography be recommended for Asian women? Tsuchida, Junko Nagahashi, Masayuki Rashid, Omar M Takabe, Kazuaki Wakai, Toshifumi Cancer Med Cancer Prevention Although regular screening mammography has been suggested to be associated with improvements in the relative survival of breast cancer in recent years, the appropriate age to start screening mammography remains controversial. In November 2009, the United States Preventive Service Task Force published updated guidelines for breast cancer, which no longer support routine screening mammography for women aged 40–49 years, but instead, defer the choice of screening in that age group to the patient and physician. The age to begin screening differs between guidelines, including those from the Task Force, the American Cancer Society and the World Health Organization. It remains unclear how this discrepancy impacts patient survival, especially among certain subpopulations. Although the biological characteristics of breast cancer and peak age of incidence differ among different ethnic populations, there have been few reports that evaluate the starting age for screening mammography based on ethnicity. Here, we discuss the benefits and harm of screening mammography in the fifth decade, and re-evaluate the starting age for screening mammography taking ethnicity into account, focusing on the Asian population. Breast cancer incidence peaked in the fifth decade in Asian women, which has been thought to be due to a combination of biological and environmental factors. Previous reports suggest that Asian women in their 40s may receive more benefit and less harm from screening mammography than the age-matched non-Asian US population. Therefore, starting screening mammography at age 40 may be beneficial for women of Asian ethnicity in well-resourced countries, such as Japanese women who reside in Japan. John Wiley & Sons, Ltd 2015-07 2015-04-27 /pmc/articles/PMC4529351/ /pubmed/25914223 http://dx.doi.org/10.1002/cam4.468 Text en © 2015 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cancer Prevention
Tsuchida, Junko
Nagahashi, Masayuki
Rashid, Omar M
Takabe, Kazuaki
Wakai, Toshifumi
At what age should screening mammography be recommended for Asian women?
title At what age should screening mammography be recommended for Asian women?
title_full At what age should screening mammography be recommended for Asian women?
title_fullStr At what age should screening mammography be recommended for Asian women?
title_full_unstemmed At what age should screening mammography be recommended for Asian women?
title_short At what age should screening mammography be recommended for Asian women?
title_sort at what age should screening mammography be recommended for asian women?
topic Cancer Prevention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4529351/
https://www.ncbi.nlm.nih.gov/pubmed/25914223
http://dx.doi.org/10.1002/cam4.468
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