Strong evidence suggests women may not need mammograms if they receive a thorough clinical breast examination every year. A large and long study in The British Medical Journal published Tuesday is one of the few randomized, controlled evaluations of mammography in recent history. It examined Canadian women assigned to have regular mammograms plus breast exams or to have breast exams alone. Researchers found that death rates from breast cancer and from all causes were the same in both groups. It is definitely time to re-evaluate guidelines by looking at the screening issue from all angles. The more information the better.
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