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Breast cancer mammogram screenings should start at age 40 instead of 50, says health task force

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Breast cancer mammogram screenings should start at age 40 instead of 50, says health task force

Women should get mammograms every other year starting at age 40, according to updated recommendations from the U.S. Preventive Services Task Force (USPSTF).

This is a significant change from previous guidelines, which said women should begin biennial mammograms at age 50, but could opt to begin as young as 40.

The task force also noted that there is not sufficient evidence to “assess the balance of benefits and harms” of additional breast cancer screenings — including ultrasounds and MRIs — for women with dense breast tissue who have had an otherwise negative screening mammogram. 

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The USPSTF previously released these recommendations in draft form in May 2023. 

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Tuesday’s announcement makes the guidance official.

Women should get mammograms every other year starting at age 40, according to updated recommendations from the U.S. Preventive Services Task Force. (iStock)

Other medical groups have already been recommending mammograms starting at younger ages.

The American College of Radiology recommends starting annual screenings at age 40 for women of average risk, with earlier screenings for high-risk patients.

The American Cancer Society states that women between 40 and 44 have the option to get annual mammograms, and officially recommends that women between 45 and 54 get them every year.

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The updated guidance is in response to cancer rates rising among young people and breast cancer rates rising in particular, experts say.

Between 1990 and 2019, cancer rates among people 50 and younger have risen by 79%, according to research published in BMJ Oncology.

The previous guidance stated women should begin biennial mammograms at age 50, but could opt to begin as young as 40. (iStock)

Cancer rates for people under 50 are projected to rise by 31% by the year 2030, data shows. 

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Breast cancer is the second leading cause of cancer death in women, according to the American Cancer Society, with rates rising 2% each year since 2015.

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One in eight women will develop breast cancer in their lifetime, and each woman has a one in 40 chance of dying from the disease.

The earlier screening recommendation could save 19% more lives, the USPSTS stated.

Breast cancer is the second leading cause of cancer death in women, according to the American Cancer Society. (iStock)

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Reactions to the recommendation

Dr. Michelle Specht, a breast surgeon and co-director of the Avon Comprehensive Breast Evaluation Center at Mass General Cancer Center, said she is “thrilled” that the USPSTF has finalized its recommendations for earlier screenings.

“We have seen a rise in the incidence of breast cancer in women in their 40s over the last eight years and know that starting mammography at 40 will allow us to detect cancers at a smaller size and earlier stage,” she told Fox News Digital. 

“Early detection not only leads to improved survival, but an improved quality of life. As a surgeon, I am able to do smaller surgeries — and my medical oncology colleagues can deescalate treatment — when cancers are detected early.”

One in eight women will develop breast cancer in their lifetime, and each woman has a one in 40 chance of dying from the disease. (iStock)

Dr. Karen Knudsen, CEO of the American Cancer Society in Virginia, said in a statement the decision is a “critical change concerning women’s health and the fight against breast cancer,” and that it sends “a strong message to referring physicians and women that breast cancer screening should begin earlier than age 50.”

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“Mammography screening is the cornerstone of our strategy to find this potentially deadly disease early, when it’s easier to treat successfully,” she said in the statement.

“Mammography screening is the cornerstone of our strategy to find this potentially deadly disease early, when it’s easier to treat successfully,” said the CEO of the American Cancer Society. (iStock)

“We are encouraged that among the reasons for the USPSTF changes in their breast cancer screening recommendations include eliminating health disparities, especially among Black women, who are 40% more likely to die of breast cancer compared with White women and have a higher risk of aggressive breast cancers at all ages,” Knudsen added.

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Dr. Nancy Chan, a medical oncologist at NYU Langone Perlmutter Cancer Center, shared her reaction to the updated guidelines.

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“No significant difference was found in different screening methods, i.e., DBT (digital breast tomosynthesis) versus digital mammogram,” she told Fox News Digital. 

“In patients with dense breast tissue, the addition of MRI may reduce cancer risk and false positive recalls.”

If a woman has a family history of breast cancer, she should meet with her doctor to have a breast cancer risk analysis performed, a doctor said.  (iStock)

In clinical practice, Chan said the majority of patients undergo annual screenings with mammograms, instead of once every two years.

“Practically, in the urban setting, most patients are already and will continue to have screening with mammogram with tomosynthesis (3D mammography),” she added.

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“Each patient must consider the best screening method for their individual cancer risk, such as breast density and family history.”

If a woman has a family history of breast cancer, she should meet with her doctor to have a breast cancer risk analysis performed, Specht said. 

“This risk analysis will allow their physician to tailor breast cancer screening,” she noted. 

“A woman at high risk of developing breast cancer may begin prior to 40 and may do both mammograms every year, [along with] supplemental screening, such as a breast MRI.”

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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Scientists pinpoint why COVID vaccine may trigger heart inflammation in certain people

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POST-DOSE PATTERN — New research reveals why the COVID vaccine can trigger heart issues, especially in one group

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A new study has identified why mRNA COVID-19 vaccines could trigger heart issues, especially in one demographic. (iStock)

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SCREENING DEBATE A new study questions whether annual mammograms are necessary for most women

SUPER SPREAD — An “aggressive” new flu variant sweeps the globe as doctors warn of severe symptoms

The flu season has intensified as the new H3N2 variant causes severe illness worldwide. (iStock)

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Aging-related joint disorder increasingly affects people under 40, study finds

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Aging-related joint disorder increasingly affects people under 40, study finds

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Cases of gout are rising in younger individuals, according to a global study.

The condition, which is a type of inflammatory arthritis, steadily increased in people aged 15 to 39 between 1990 and 2021, researchers in China announced.

Although rates vary widely between countries, the total number of young people with the condition is expected to continue rising through 2035.

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The study, published in the journal Joint Bone Spine, investigated 2021 data from the Global Burden of Disease (GBD), spanning 204 countries within the 30-year timeframe.

The data measured gout prevalence, incidence and years lived with disability, tracking global trends over time. The results showed a global increase across all three outcomes.

Gout is expected to continue rising in young people through 2035. (iStock)

Prevalence and disability years increased by 66%, and incidence rose by 62%. In 2021, 15- to 39-year-olds accounted for nearly 14% of new gout cases globally, the study found.

Men from 35 to 39 years old and people in high-income regions had the highest burden, but high-income North America topped the list for highest rates.

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Men were also found to have lived more years with gout due to high BMI, while women tended to have the condition as a link to kidney dysfunction, the study noted.

The total number of cases is expected to increase globally due to population growth, but the study projected that rates per population would decrease.

The researchers noted that data quality, especially in low-income settings, could have posed a limitation to the broad GBD data.

What is gout?

Gout is a common form of arthritis involving sudden and severe attacks of pain, swelling, redness and tenderness in the joints, according to Mayo Clinic. It most often occurs in the big toe.

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The condition occurs when urate crystals accumulate in the joint. These form when there are high levels of uric acid in the blood, which the body produces when it breaks down a natural substance called purines.

A gout flare-up can happen at any time, often at night, causing the affected joint to feel hot, swollen, tender and sensitive to the touch.

Urate crystals, described as sharp and needle-like, build up in the joint, causing intense pain and swelling. (iStock)

Purines can also be found in certain foods, like red meat or organ meats like liver and some seafood, including anchovies, sardines, mussels, scallops, trout and tuna, according to the Mayo Clinic. Alcoholic drinks, especially beer, and drinks sweetened with fruit sugar can also lead to higher uric acid levels.

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Uric acid will typically dissolve in the blood and pass through the kidneys into urine, but when the body produces too much or too little uric acid, it can cause a build-up of urate crystals. These are described by the Mayo Clinic as sharp and needle-like, causing pain, inflammation and swelling in the joint or surrounding tissue.

Risk factors for gout include a diet rich in high-purine foods and being overweight, which causes the body to produce more uric acid and the kidneys to have trouble eliminating it.

Experts urge patients to seek medical attention for gout flare-ups. (iStock)

Certain conditions like untreated high blood pressure, diabetes, obesity, metabolic syndrome and heart and kidney diseases can increase the risk of gout, as well as certain medications.

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A family history of gout can also increase risk. Men are more likely to develop the condition, as women tend to have lower uric acid levels, although symptoms generally develop after menopause.

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Untreated gout can cause worsening pain and joint damage, experts caution. It may also lead to more severe conditions, such as recurrent gout, advanced gout and kidney stones.

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The Mayo Clinic advises patients to seek immediate medical care if a fever occurs or if a joint becomes hot and inflamed, which is a sign of infection. Certain anti-inflammatory medications can help treat gout flares and complications.

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Fox News Digital reached out to the researchers for comment.

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New study questions whether annual mammograms are necessary for most women

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New study questions whether annual mammograms are necessary for most women

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A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography.

The WISDOM randomized clinical trial, led by study authors from universities and healthcare systems across the U.S., considered more than 28,000 women aged 40 to 74 years old, splitting them into a risk-based screening group and an annual mammography group.

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Researchers calculated each woman’s individual risk based on genetics (sequencing of nine breast cancer genes) and other health factors. 

A new study suggests that annual mammograms may not be the only effective approach for preventing breast cancer. (iStock)

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. Patients with elevated risk were told to get an annual mammography and counseling.

Average-risk women were guided to get mammograms every two years, while low-risk individuals were advised to have no screening until they became higher risk or reached age 50.

HIDDEN TYPE OF BREAST CANCER COULD BE EXPOSED BY NEW BREAKTHROUGH TECH

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The researchers found that risk-based screening did not lead to more advanced cancer diagnoses (stage 2B or higher) compared with annual screening, indicating that it is just as safe as traditional methods. The risk-based approach, however, did not reduce the number of biopsies overall, as researchers had hoped.

Among the risk-based group of women, those with higher risk had more screening, biopsies and detected cancers. Women at lower risk had fewer procedures.

The research, published in the Journal of the American Medical Association (JAMA), tested a risk-based breast cancer screening approach against standard annual mammography. (iStock)

“[The] findings suggest that risk-based breast cancer screening is a safe alternative to annual screening for women aged 40 to 74 years,” the researchers noted in the research summary. “Screening intensity matched individual risk, potentially reducing unnecessary imaging.”

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Fox News medical contributor Dr. Nicole Saphier, associate professor of radiology at Memorial Sloan Kettering Cancer Center in New Jersey, commented that while these findings are important, the study “completely sidelines” what screenings are designed to do — detect cancer early.

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“If you don’t measure stage 0, stage 1 or stage 2A cancers, you can’t tell whether personalized screening delays diagnosis in a way that matters for survival and treatment intensity,” Saphier, who was not involved in the study, told Fox News Digital in an interview.

Those who were at the highest risk were advised to alternate between a mammogram and an MRI scan every six months. (iStock)

More than 60% of breast cancers in the U.S. are diagnosed at stage 1 or 2A, where cure rates exceed 90%, the doctor noted.

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The trial doesn’t “fully evaluate” whether risk-based screening changes detection at the earliest and most treatable stages, where screening “delivers its greatest benefit,” according to Saphier.

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“Mammography is not without risk — radiation exposure, false positives, anxiety and potential over-diagnosis are real and should be acknowledged,” she said. “But it remains the most effective, evidence-based tool for detecting breast cancer early, when treatment is most successful.”

The expert added that labeling women under 50 as “low risk” is “outdated,” as breast cancer diagnoses are on the rise in younger females.

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“Until long-term mortality data support alternative approaches, annual screening beginning at 40 for average risk women should continue,” Saphier added. “Women should be assessed for breast cancer risk by 25 years old to determine if screening should begin earlier.”

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