Generic photo of a woman who is having a mammogramCopyright of the image
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Younger women with a family history of breast cancer should be screened annually to screen for the disease earlier, said a charity.

Breast cancer now has funded a study that found that cancers were detected earlier when people aged 35 to 39 at risk underwent an annual mammogram.

NHS screening often begins at age 40 for women with a family history.

Experts must strike a balance between the benefits of additional controls and excessive concerns or over-treatment.

The authors of the study stated that further analysis was needed on the risks, costs, and benefits of extending the screening program.

Baroness Delyth Morgan, Executive Director of this organization, called on the government to review NHS screening programs in England soon to consider the introduction of CT for women aged 35 to 39 with a family history of cancer. breast.

The study, conducted by researchers at the University of Manchester, analyzed 2899 women in this age group considered to be at moderate or high risk of contracting the disease after being referred by a general practitioner to a physician. clinical family history.

Screening revealed 35 invasive breast cancer tumors, most of which were small and identified before they reached the lymph nodes, a sign that they had not spread throughout the body.

Effective detection

In a control group, which had not done the screening, a lot fewer cancers were discovered while they were still small and a greater number of them were diagnosed. were spread to the lymphatic system.

Professor Gareth Evans, lead author of the study, said the trial demonstrated that annual tests were effective at detecting tumors earlier for this younger age group.

He said that overdiagnosis – where people are treated for cancers that are not likely to be harmful – was "much less likely" to be a problem for this younger age group.

Legend

Baroness Morgan became a peer for life in 2004

"For women with a family history, eliminating a non-invasive tumor as early in life will likely have a preventative effect on cancer," said Professor Evans.

The study did not include women with specific gene mutations that could increase the risk of contracting the disease.

The charity says that regular MRI scans – as it is currently recommended – remain the best option for those with defective BRCA or TP53 genes.

Cut lives "breathtaking"

If annual mammograms for young women at risk were widely disseminated in the four NHS departments in the UK, this could affect up to 86,000 women, the researchers said.

Breast cancer is the most common cancer in the UK. Approximately 55,000 women are diagnosed each year and 11,500 die.

Between 5% and 15% of breast cancers are linked to a family history of the disease.

"We have long known that family history can define a woman's risk and that breast cancer can be more aggressive in younger women," said Baroness Morgan.

"So, if we can intervene earlier for high-risk people through annual screening, we think we may be able to stop the disease by ending so many women's lives in such a heartbreaking way."

An NHS England spokeswoman said that any changes to the screening program would be taken into account in this review.

She said: "Breast cancer survival is at its highest level and with improved screening, a key part of the NHS's long-term plan, more cancers will be diagnosed sooner" .

The Scottish Government stated that it continued to monitor and review all available evidence and recommendations.

Who is screened for breast cancer?

  • Screening is routinely offered to women when they reach the age of 50 – they will receive an invitation every three years until their 71st birthday.
  • The NHS is currently trying to extend routine testing to women aged 47 to 73 years.
  • If you have an increased risk of breast cancer because you carry certain genes or if you have close relatives who have had breast cancer, it is possible that annual checks are offered. Talk to your doctor about the best options for you

What do you think of the call made to young women for breast cancer screening? Tell us about your experiences by sending an email haveyoursay@Good Medical.

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