๐บ๐ด Da Time Foสป Women Fo’ Get Regula Mammograms? 40, U.S. Panel Stay Say Now ๐ธ๐
Kสปden, da breast cancer diagnoses on da rise fo’ younga wahines an’ da mortality rates fo’ Black wahines stay high. So, da health experts wen’ change da advice ’bout mammograms. ๐ก๐
Da U.S. Preventive Services Task Force say all wahines, no matta da kine ethnic background, should start get regula mammograms wen dey turn 40, instead of waiting till 50 like befo’. ๐ฅ๐บ
In 2009, da task force wen’ raise da age fo’ start mammograms from 40 to 50. Dey t’ought it would cause mo’ harm den good fo’ younga wahines. But, recent trends in breast cancer stay troubling. ๐๐
Mo’ wahines unda 50 gettin’ diagnosed wit’ breast cancer, an’ da survival gap fo’ younga Black wahines no stay gettin’ betta. Black wahines still dying from breast cancer at double da rate of white wahines da same age. ๐ข๐
Da new recommendation goin’ affect ova 20 million wahines in da U.S. between da ages of 40 an’ 49. ๐บ๐ธ๐ฉ
Da panel still no can make recommendations fo’ wahines 75 an’ olda. Dey stay lookin’ fo’ mo’ research fo’ understand why get dis kine racial disparity. Da task force also like see one clinical trial fo’ compare annual an’ biennial screening among Black wahines. ๐งช๐
Breast cancer mortality rates stay goin’ down, but still stay da second most common cancer fo’ wahines afta skin cancer. An’ still stay da second leading cause of cancer deaths, afta lung cancer. ๐๏ธ๐
Between 2015 an’ 2019, breast cancer diagnoses fo’ wahines in dea 40s wen’ rise by 2% per year on average. Not sure why, but get plenny theories. Maybe get mo’ wahines not having keiki, o’ maybe get mo’ wahines having keiki lata in life. ๐คทโโ๏ธ๐ถ
Get some odda reasons too. But screening mo’ often also get side effects, like causing stress wit’ unnecess’ry biopsies an’ treating slow-growing cancers dat no stay life-threatening. ๐ฐ๐ฌ
Da American Cancer Society stay disagree wit’ da task force on one t’ing. Dey say wahines 40-44 should get mammograms if dey like, but afta 45, dey should get mammograms every year till 55, wen da risk fo’ breast cancer start fo’ go down. ๐๐ฌ
Da new recommendation goin’ apply fo’ all da wahines dat stay average risk fo’ breast cancer, including dose wit’ dense breast tissue an’ family history of breast cancer. But not fo’ dose who wen’ have breast cancer befo’ o’ get genetic mutations dat make da risk higher. Dose wahines gotta talk to dea doctors fo’ find out how often fo’ get screened. ๐งฌ๐ฉโโ๏ธ
Da task force say real importan’ fo’ Black wahines fo’ start mammograms at 40, cuz dey mo’ likely fo’ get aggressive tumors at young age an’40% mo’ likely fo’ die from breast cancer dan white wahines. ๐ธ๐
Some scientists like see one “risk-adapted” approach, wea Black wahines start screening 6-8 years befo’ white wahines. ๐ง ๐ฎ
“Da recommendation should be tailored by race an’ ethnicity fo’ make da screening mo’ betta an’ lessen da bad stuff, an’ fo’ address da kine racial disparity,” said Dr. Mahdi Fallah, one expert from da German Cancer Research Center in Heidelberg. ๐ฉ๐ช๐
But, screening by itself no goin’ help survival rates fo’ Black wahines. Not only dey mo’ likely fo’ get aggressive tumors, but dey also get hard time gettin’ medical care an’ get odda t’ings in life dat make treatment difficult. ๐๐
Da task force report show dat follow-up afta abnormal breast scans stay often delayed, an’ e’pecially fo’ Black wahines. ๐๐
“Plenny times, wen get Black wahine, you hear one story you no like hear,” Dr. Mangione said. ๐ฃ๏ธ๐
“Often, dey find one lump o’ one discharge dey know no stay normal, dey go in, an’ dey get dismissed. An’ it’s only cuz dey no goin’ take no fo’ one ansa dat dey finally get diagnosed.” ๐ช๐ฌ
So, dis new advice stay tryin’ fo’ help mo’ wahines stay safe an’ healthy, an’ make sure dat everyone can get da kine care dey need. ๐บ๐
NOW IN ENGLISH
๐บ๐ด Time for Women to Get Regular Mammograms at 40, U.S. Panel Now Says ๐ธโฐ
With breast cancer diagnoses on the rise for younger women and high mortality rates for Black women, health experts have updated mammogram recommendations. ๐ก๐
The U.S. Preventive Services Task Force now says all women, regardless of their ethnic background, should start getting regular mammograms at age 40 instead of waiting until 50 like before. ๐ฅ๐บ
In 2009, the task force raised the age to start mammograms from 40 to 50. They thought it would cause more harm than good for younger women. But recent breast cancer trends are concerning. ๐๐
More women under 50 are getting diagnosed with breast cancer, and the survival gap for younger Black women isn’t improving. Black women still die from breast cancer at double the rate of white women of the same age. ๐ข๐
The new recommendation affects over 20 million women in the U.S. between the ages of 40 and 49. ๐บ๐ธ๐ฉ
The panel still can’t make recommendations for women 75 and older. They are looking for more research to understand the racial disparity. The task force also wants a clinical trial to compare annual and biennial screening among Black women. ๐งช๐
Breast cancer mortality rates have decreased, but it remains the second most common cancer for women after skin cancer. And it is still the second leading cause of cancer deaths, after lung cancer. ๐๏ธ๐
Between 2015 and 2019, breast cancer diagnoses for women in their 40s increased by 2% per year on average. The reasons are unclear, but some theories include more women not having children or having children later in life. ๐คทโโ๏ธ๐ถ
There are other reasons too. But frequent screening also has side effects, like causing stress with unnecessary biopsies and treating slow-growing cancers that aren’t life-threatening. ๐ฐ๐ฌ
The American Cancer Society disagrees with the task force on one thing. They say women aged 40-44 should have the option to get mammograms, but after 45, they should get mammograms every year until 55, when the risk for breast cancer starts to decrease. ๐๐ฌ
The new recommendation applies to all women at average risk for breast cancer, including those with dense breast tissue and a family history of breast cancer. But not for those who have had breast cancer before or have genetic mutations that increase risk. These women should talk to their doctors about how often to get screened. ๐งฌ๐ฉโโ๏ธ
The task force says it’s crucial for Black women to start mammograms at 40, as they are more likely to get aggressive tumors at a young age and are 40% more likely to die from breast cancer than white women. ๐ธ๐
Some scientists suggest a “risk-adapted” approach, where Black women start screening 6-8 years before white women. ๐ง ๐ฎ
“The recommendation should be tailored by race and ethnicity to maximize the benefits of screening and minimize its harms and to address the current racial disparity,” said Dr. Mahdi Fallah, an expert from the German Cancer Research Center in Heidelberg. ๐ฉ๐ช๐
However, screening alone will not improve survival rates for Black women. They are not only more likely to develop aggressive tumors but also struggle with accessing medical care and have other life circumstances that make treatment difficult. ๐๐
The task force report shows that follow-up after abnormal breast scans is often delayed, especially for Black women. ๐๐
“Many times, with Black women, you hear a story you don’t want to hear,” Dr. Mangione said. ๐ฃ๏ธ๐
“Often, they find a lump or a discharge they know isn’t normal, they go in, and they get dismissed. And it’s only because they won’t take no for an answer that they finally get diagnosed.” ๐ช๐ฌ
So, this new advice aims to help more women stay safe and healthy, and ensure that everyone can access the care they need. ๐บ๐