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Quick Update: Too Much Going On!

Quick Update: Too Much Going On!

I haven't set aside enough time to write more posts. I have a number of items teed up, but things are a little hectic with the holiday s...

1:54 PM

Dense Breasts May Need Sonograms to Detect Cancer

<div dir="ltr" style="text-align: left;" trbidi="on"><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;"></span><br /><div class="mod-nytimesarticleheader mod-articleheader" id="mod-article-header" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><div class="separator" style="clear: both; text-align: center;"></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhu9mcbUm5iJv_cwopYhM9kUh1ZTh78KDxsrxczcg1nGKwHQNrO08usQ6lWW9S4jnQVBB5ltrMmavHOjors7X5Ar7vGrzCAcbRWvCh_U3xESYa5m7CwUc_73etECYihoHcZIwiaGUwrLTFm/s1600/Solid+Hypoechoic+breast+mass.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="566" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhu9mcbUm5iJv_cwopYhM9kUh1ZTh78KDxsrxczcg1nGKwHQNrO08usQ6lWW9S4jnQVBB5ltrMmavHOjors7X5Ar7vGrzCAcbRWvCh_U3xESYa5m7CwUc_73etECYihoHcZIwiaGUwrLTFm/s640/Solid+Hypoechoic+breast+mass.jpg" width="640" /></a></div><h1 style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 24px; font-weight: normal; line-height: 26px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"></h1></div><div class="mod-nytimesarticlebyline mod-articlebyline" id="mod-article-byline" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: grey; font-family: arial; font-size: 10px; line-height: 12px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 15px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: grey; font-family: arial; font-size: 10px; line-height: 12px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">By SANDEEP JAUHAR</span><br /><span class="pubdate" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: grey; font-family: arial; font-size: 10px; line-height: 12px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Published: September 19, 2002</span></div><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px; line-height: 1px;"><br /><img alt="" height="1" src="http://nytimes.perfectmarket.com/pm/images/pixel.gif" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" width="1" /></span><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;"></span><br /><div class="mod-nytimesarticletext mod-articletext" id="mod-a-body-first-para" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 640px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;"><strong style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"></strong>Breast density, a known risk factor for breast cancer, may be inherited, and there are indications that women with dense breasts may need to be screened with ultrasound, two studies said today.</span></div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;">Researchers in Canada, Australia and New Zealand studying identical and fraternal twins found that variations in breast density were strongly influenced by genetic factors, a study in today's New England Journal of Medicine found.</span></div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;">The other study, of 11,130 women at a Manhattan radiology clinic, found that ultrasound examinations, or sonograms, could detect a significant number of cancers that were missed by mammography in women with dense breasts. The authors, writing in the journal Radiology, argue that screening by ultrasound may be useful in this population. But the study is not considered definitive because the patients were not selected at random and it was performed by just one researcher.</span></div></div><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;"></span><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px; line-height: 1px;"><img alt="" height="1" src="http://nytimes.perfectmarket.com/pm/images/pixel.gif" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" width="1" /></span><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px;"><div class="mod-nytimesarticletext mod-articletext" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 640px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Dr. Stephen Feig, director of breast imaging at Mount Sinai Hospital in Manhattan, said that the ultrasound findings were impressive, and that ''anything we can do to increase breast cancer detection we should do if it is feasible.''</div></div><div class="mod-nytimesline mod-line" id="mod-ln-ctr-bt" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 655px;"><center style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-color: rgb(204, 204, 204); border-top-style: solid; border-top-width: 1px; color: black; font-family: inherit; font-size: 12px; height: 1px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 350px;"></div></center></div><div class="float" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; clear: both; color: black; font-family: inherit; font-size: 12px; height: 1px; line-height: 1px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><img alt="" height="1" src="http://nytimes.perfectmarket.com/pm/images/pixel.gif" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" width="1" /></div><div class="mod-nytimesarticletextwithadcpc mod-nytimesarticletext mod-articletext" id="mod-a-body-after-first-para" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 640px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">But Dr. Feig said he was concerned about the limited nature of the study and the time and expense of screening a wider population with sonograms, which cost about $150, roughly the same as mammograms.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">''We need to learn more before screening breast ultrasound becomes standard of care,'' Dr. Feig said, adding that a multicenter trial of such screening was being organized.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">It is well known that mammograms, even at their best, miss a lot of cancer, up to 25 percent in women under 50. Young women tend to have dense breasts, which appear white on mammography, making it harder to differentiate small tumors.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Women with very dense breasts, composed primarily of fibrous tissue and milk-producing glands, have four times the risk of developing breast cancer as women of the same age with fatty breasts. Experts suspect that dense tissue means more cells that could potentially become cancerous, but no one is sure.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Research has shown that breast density appears to decrease with age and the number of children a woman bears, and increase with hormone replacement therapy. Because breast size and texture are not reliable predictors of breast density, many women are unaware that they have dense breasts. Mammography is the only accurate test.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">In the New England Journal study published today, researchers performed mammograms on 571 identical twins and 380 fraternal twins ages 40 to 70 in Australia, Canada and the United States. They looked for correlations in the degree of breast density within pairs of twins.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Identical twins have identical genes, so that any differences in breast density between them would most likely be because of environmental factors or measurement error. Fraternal twins, on the other hand, on average share only half their genes. The researchers found a much stronger correlation in breast density between identical twins than fraternal twins, suggesting that the contribution of genetic factors to breast density is 60 to 75 percent.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">An unsettled question is how women with dense breasts should be screened. Ultrasound has been widely used to evaluate suspicious abnormalities on a mammogram, but whether it should be used as a screening tool for the wider population has been a matter of debate. Several studies in the 1980's showed little benefit of screening breast ultrasounds, and in 1994 the American College of Radiology said that sonograms should not be used to screen for breast cancer.</div></div></span><span class="Apple-style-span" style="font-family: Georgia; font-size: 12px; line-height: 17px;"><div class="mod-nytimesarticletext mod-articletext" id="mod-a-body-first-para" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 640px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">The latest research, by Dr. Thomas Kolb, a Manhattan radiologist and the lead author of the study, confirmed that mammography misses a substantial number of cancers in dense breasts. In the study, 11,130 women without any signs or symptoms of breast cancer received screening mammograms and a breast examination from January 1995 to September 2000. Seventeen percent of the women had a history of breast cancer, and 78 percent had a normal breast examination within one month of the study. Roughly half the women were assessed to have dense breasts and received an ultrasound examination.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">The study detected 246 cancers, of which 83 percent were invasive; the rest were in situ cancers that are often surgically treatable. Consistent with previous results, mammography detected 98 percent of cancers in women with fatty breasts but only 48 percent in women with the densest breasts, assuming that the screening tests found all cancers.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">Ultrasound detected 33 additional cancers in the roughly 5,000 women with dense breasts who had normal mammograms and breast exams. Seventy percent of these cancers were smaller than one centimeter and 89 percent did not involve lymph nodes, suggesting that they were at an early stage.</div></div><div class="float" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; clear: both; color: black; font-family: inherit; font-size: 12px; height: 1px; line-height: 1px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><img alt="" height="1" src="http://nytimes.perfectmarket.com/pm/images/pixel.gif" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" width="1" /></div><div class="mod-nytimesline mod-line" id="mod-ln-ctr-bt" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 655px;"><center style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-color: rgb(204, 204, 204); border-top-style: solid; border-top-width: 1px; color: black; font-family: inherit; font-size: 12px; height: 1px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 350px;"></div></center></div><div class="float" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; clear: both; color: black; font-family: inherit; font-size: 12px; height: 1px; line-height: 1px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;"><img alt="" height="1" src="http://nytimes.perfectmarket.com/pm/images/pixel.gif" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;" width="1" /></div><div class="mod-nytimesarticletextwithadcpc mod-nytimesarticletext mod-articletext" id="mod-a-body-after-first-para" style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 12px; line-height: 17px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px; width: 640px;"><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">''A sensitivity of 48 percent for mammography in women with the densest breasts is unacceptable,'' Dr. Kolb said in a phone interview. ''Screening ultrasound will find an enormous amount of cancer that would otherwise go undetected.''</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">To detect the 33 cancers, 320 biopsies had to be done, resulting in a positive biopsy rate of just 9 percent.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">''I think the trade-off happens to be very reasonable,'' Dr. Kolb said. ''Speak to as many women as I do, and you will find near unanimity for having a screening ultrasound because women realize that a low positive biopsy rate is a minimal consequence to the potential benefit.''</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">But even if ultrasound detects more cancers, experts said, there is no evidence it will save lives. ''Are these cancers that would have gone on to cause trouble for these women?'' Dr. Steven Goodman, professor of biostatistics at Johns Hopkins School of Medicine, asked. ''It's the $64 million question.'' Without data on outcomes like disability or death, he said, this study could not provide an answer.</div><div style="border-bottom-width: 0px; border-color: initial; border-left-width: 0px; border-right-width: 0px; border-style: initial; border-top-width: 0px; color: black; font-family: inherit; font-size: 15px; line-height: 22px; margin-bottom: 10px; margin-left: 0px; margin-right: 0px; margin-top: 0px; padding-bottom: 0px; padding-left: 0px; padding-right: 0px; padding-top: 0px;">''It's a given that the more tests you do, the more cancers you're going to pick up,'' Dr. Barry Kramer, a cancer specialist and associate director for disease prevention at the National Institutes of Health, said. ''There's an unwritten assumption that finding any cancer is good, but there isn't enough evidence to guide that particular judgment.''</div></div></span></div>

Dense Breasts May Need Sonograms to Detect Cancer

By SANDEEP JAUHAR Published: September 19, 2002 Breast density, a known risk factor for breast cancer, may be inherited, and there are indic...

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Cure for Cancer Book and CD Set Coming Out Next Week!

<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8mcF4V6bOhmXBsrcOOrFuk773HB-4Hwf0DnIQqRXlq8OBRFMrEqiWpssIB0WTRYqFmffQm6hhfpbM0pb7FAR7H0cl1FNRA-IvHZK3PjkffJHCLYV0bx6uaYXVN9pVkdG_LzC5KY908hta/s1600/543146_10151848619364616_787414713_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8mcF4V6bOhmXBsrcOOrFuk773HB-4Hwf0DnIQqRXlq8OBRFMrEqiWpssIB0WTRYqFmffQm6hhfpbM0pb7FAR7H0cl1FNRA-IvHZK3PjkffJHCLYV0bx6uaYXVN9pVkdG_LzC5KY908hta/s640/543146_10151848619364616_787414713_n.jpg" width="482" /></a></div><div class="separator" style="clear: both; text-align: center;"><br /></div><div style="text-align: -webkit-auto;"><span class="Apple-style-span" style="color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;">The Cure for Cancer Book and CD Set is Coming Out Next Week!</span></div><div style="text-align: -webkit-auto;"><span class="Apple-style-span" style="color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;"><br />Can you believe it?! We've already reached video #3 in the World's First Ever free Cure to Cancer Video Series. It also looks like we are on schedule to release the first ever C<span class="text_exposed_show" style="display: inline;">ure to Cancer Book, CD Set, and Conference Tickets sometime next week.<br /><br />We want you to know that we truly care about you and about bringing you as much health related information to your fingertips as possible so you can have all the perspectives available that have been working for numbers of people and be more empowered to make educated decisions for extending and improving the quality of your life.<br /><br />We don't believe in an immediate Cure-All per-se, as health and healing is different for different circumstances, though we do believe that if you have the leading edge information available and in your grasp, you will certainly be more likely to find what works for you, than otherwise.<br /><br />We never recommend putting all your eggs in one basket as we know the road to healing and health is paved with integrative solutions, therefore we always recommend that you research further everything you learn, and on some level, take action towards making positive changes in your life.<br /><br />In Video #3 - Join us as Jean Swann interviews Burton Goldberg, internationally known as the Voice of Alternative Medicine, and author of 18 books, including Alternative Medicine, the Definitive Guide.<br /><br />Burton shares insights into some of the modern day causes of cancers and some of the best integrative approaches.<br /><br />During this video you will;<br />Learn some of the biggest factors that have led to the alarming increase in cancer rates.<br />Discover integrative and alternative approaches to cancer.<br />Find out the first steps all cancer patients should take.<br />Learn some of the best ways to avoid degenerative disease.<br /><br />As part of our mission to help millions of people get access to this empowering information, we are asking that you share this with as many people as possible.<br />Help a loved one with the information you learn, and pass it on to others.<br /><br />We are excited to help connect you with experts and options available for preventing, healing, and overcoming cancer, and this is bar non top of the line information.<br /><br />We hope it helps support your journey towards health and healing.<br />Don't wait, the video is now playing here.<br /><a href="http://upload.facebook.com/l.php?u=http%3A%2F%2Fthecuretocancersummit.com%2Fvideo-3-burton%2F&h=DAQEMVJiv&enc=AZMRlJeTza5DtoKKaxWGcwhKFZ9JUAJla6kUJMLiZHEiSe0cgjVO9FhzVZo5xM4DerLjCb3jrnYjAYHLs8DQPnmZcA94oPmkqvW3Rh0vRVwC4RP2i2EnUI4wpiqgDuOmJ0bGyQkueo7f92ZfoJuvYXCf&s=1" rel="nofollow nofollow" style="color: #3b5998; cursor: pointer; text-decoration: none;" target="_blank">http://thecuretocancersummit.com/video-3-burton/</a><br /><br /><br />With admiration and appreciation,<br />Dr. Robert O. Young<br />The pH Miracle Living Center<br /><a href="http://upload.facebook.com/l.php?u=http%3A%2F%2Fwww.phmiracle.com%2F&h=yAQEupYlp&enc=AZM37t4gnNnMYIqmzvdlChZ25YL-PVaaqKNra3fqLlbDE6v-40AjmjaWKvIQEushrP6m2ot-c9BPWCNjgnJoAxk4aO91sVZMWCLervuz9Kp7-GTs-SbABlv-1WWx1WBx-oWnmz76liMrn68oZ9B_JveI&s=1" rel="nofollow nofollow" style="color: #3b5998; cursor: pointer; text-decoration: none;" target="_blank">www.phmiracle.com</a><br /><br />Nathan Crane & Jean Swann<br />The Panacea Community &<br />Integrated Health International<br />info@thepanaceacommunity.com<br /><br />P.S.<br /><br />We know so many of you have been waiting patiently for the Cure to Cancer Book. We are working dutifully to release the Cure to Cancer Book and CD set for pre-orders sometime next week, and we think you will be so excited once you see what we have in store for you. </span></span></div><div style="text-align: -webkit-auto;"><span class="Apple-style-span" style="color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 13px; line-height: 18px;"><span class="text_exposed_show" style="display: inline;"><br />Thanks for being such an important part of this mission in helping us share empowering information to millions of people around the planet to help prevent, heal, and reverse this debilitating acidic disease.</span></span></div></div>

Cure for Cancer Book and CD Set Coming Out Next Week!

The Cure for Cancer Book and CD Set is Coming Out Next Week! Can you believe it?! We've already reached video #3 in the World's Firs...

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Source: thecrowhouse.com , thepeoplesvoice.tv Surviving the Matrix - Episode 3 - The Peoples Voice TV - December 09 2013.

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The Roswell Press Release - Lt. Walter Haut, US Navy / Disclosure Project Witness Testimony Archive

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Source: SiriusDisclosure.com , disclosureproject.org First Lieutenant Haut was the Public Information Officer at the Roswell Army Air Base i...

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Source: SiriusDisclosure.com , disclosureproject.org Mr. Dennis was a mortician in Roswell, NM. In July 1947, the time of the famous Roswell...

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