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Mammography Screening in Women Under Age 50 Years

Peter Greenwald, MD; Charles R. Smart, MD
JAMA. 1988;260(4):474. doi:10.1001/jama.1988.03410040045012.
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To the Editor.—  The article entitled "The Value of Mammography Screening in Women Under Age 50 Years"1 concludes that breast cancer screening for women younger than age 50 years has a sufficiently low yield of identified cases of breast cancer and that women should check first with their physicians to determine if the benefits outweigh the cost in their particular case.Since the time the article was submitted to JAMA, the National Cancer Institute recommendations that were quoted in the article have changed. On Sept 30, 1987, the National Cancer Advisory Board accepted "Working Guidelines for Early Cancer Detection." These guidelines advise physicians to encourage their female patients to perform monthly breast self-examination; to perform clinical breast examinations on all female patients undergoing periodic examination; to encourage women between 40 and 50 years old to have a mammogram every one to two years, after which the mammogram should become


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