Should women under 50 add a screening breast ultrasound to their screening mammogram yearly?

Should women under 50 add a screening breast ultrasound to their screening mammogram yearly?

No.  A study looked at IF adding a breast ultrasound to a screening mammogram for women less than 50 years old (regardless of their breast cancer risk)  HELPED detect breast cancers. 

Breast cancer was detected at a similar rate across the groups (those with only screening mammogram and those with BOTH screening mammograms and ultrasounds).  5.4 versus 5.5 per 1,000 screens.  So, the additional screening test did not find more breast cancers than screening mammogram alone.

The downside to getting screening ultrasounds in addition to mammogram are unnecessary breast biopsies.  The breast biopsy rate was TWICE as high for the combination screening imaging compared to women who only received screening mammograms. 

Sometimes more testing is not better testing.

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About drlesliegreenberg

I have been practicing as a family physician for over 20 years--as both an educator of physicians and clinician. From infancy to the elderly, I perform obstetrics and general medicine. I love my career and am passionate about my field of knowledge and my patients. Follow me on Facebook at Leslie Md Greenberg Medical Disclaimer The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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