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Apr 09
2009

Screening Debates

Posted by Prashant Bhatt in Screening , Private practice , Clinical Radiology

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Prashant Bhatt
Breastlight
Breastlight showing a shadow in 61 year lady with mass
"But isn't that the whole debate against screening?"

The recent Telegraph edition has been talking about the need for screening all men above 50 for Prostatic cancer 1

I asked this experienced surgeon who specializes in breast regarding the issues of Critical Point.

In his question, he summarized the different nuances of this debate, which he has heard in different fora over the years. He has been part of a breast team which uses the triple assessment scheme of clinical examination, radiological assessment and cytological assessment. He talked about the role of mammography particularly over age 35 years and how ultrasound sometimes is particular useful under 35 years because increased tissue density reduces the sensitivity and specificity of mammography.