I’m just saying no to mammography: Why the numbers are in my favor

Washington Post, October 7, 2013


What my doctor neglected to tell me is that a mammogram was, in my case, more likely to hurt than help me. Few doctors take the time to mention the risks of mammography — especially, the danger of overdiagnosis —that a mammogram might lead a patient to get needled, sliced, zapped with radiation and possibly treated with tamoxifen, a drug that increases risk of uterine cancer, for a breast lesion that wasn’t life-threatening in the first place.

Most people believe that breast cancer is inevitably a progressive disease that will kill you if you don’t remove it in time. According to this idea, which I call the relentless progression model, every big cancer is harmful, every small one is less so and every cancer is curable if only you catch it in time. It’s an appealing, intuitive idea — except that a growing body of research suggests that it’s wrong.

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