New Guidelines - Mammogram at 50 - I would be dead!

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Gorilla12
Gorilla12 Member Posts: 63

New guidelines issued by a Dept. of Health and Human Services panel say women do not need to get annual mammograms until age 50. Until now, women have been told to get a mammogram every year beginning with their 40th birthday.

I don't usually post and if I do it is positive. But this just infuraites me! I was diagnosed with TNBC at age 40 (in 2005) from my first mammogram! My tumor was 1.5 cm with no lymph node spread. I had 4 DD AC, surgery and rads. Also, I have nothing in my history to indicate I am at risk for breast cancer, it just happened!

If I hadn't had a mammogram at the recommended age of 40 I would be dead now!

TNBC is aggressive and early detection is critical, plus it seems to hit younger women!  

Anyway, now I feel better voicing my concern! I am almost 5 years out (2010) and doing great! I have seen my two kids grow up - one in college - one in high school. My husband and I are celebrating 28 years married next year. I still want to go to Hawaii (love to travel - life long dream). I am going to see my kids graduate. I am going to have all these things and enjoy life!

Thanks for listening! 

Comments

  • rockwell_girl
    rockwell_girl Member Posts: 1,710
    edited November 2009

    AMEN thanks for posting

    I found out I had 7 clusters of DCIS at my 1st mamo at age 40

     plus during my surgery they found IDC

    I suggest to all women... get your 1st mamo at ago 35 than 37 than every year after age 39

    so many women find out they have cancer when they wait till they are 40 : (

  • AmyIsStrong
    AmyIsStrong Member Posts: 1,755
    edited November 2009

    I am terribly concerned about these new recommendations. Yes, mammos aren't perfect (hey, they missed my IDC) but they are all we have at this point. But EVEN MORE concerning is the new recommendation that I read but haven't seen much discussion of - that self exam isn't helpful and shouldn't be taught and even doctor's breast exam isnt' helpful.  So if there's no mammos and no self exams, are 40-50 year old women just supposed to DO NOTHING? When would BC be discovered? Once it is too late? The no-mammo thing is bad enough, but no self exams? I just don't get it!!!!

  • cakeisgreat
    cakeisgreat Member Posts: 660
    edited November 2009

    I echo your sentiments!  Was dx'd this June at age 37...first mammo, no issues, lumps, etc.  Stage 1 because they caught it early!

    I'd be dead at 40, much less 50!  I'm so mad that they would make me wait until I had a lump...which would clearly be in the stage III or IV category at that point!

    I wonder what that task force would say if THEY were under 50 and got BC.  Things would change I bet.

  • RebeccaH
    RebeccaH Member Posts: 72
    edited November 2009

    I was so glad to see Marisa go head to head with Dr. Love.  After seeing them on GMA, I believe Dr. Love is showing her age.  Thanks to Marisa for pushing for all the ladies between 40-50. 

    I am TN and am 4 years out of treatment!  Yippee.  However, after having a seizure in Sept, my mind quickly recalled the stats of being TN.  Between the neurologist and the oncologist, they agree that the tests show no cancer in my brain.  Whew.....  It appears to be a seizure out of the blue that everyone is suseptible to. 

    I am THANKFUL that I was able to have a baseline mammo when I was 43 yrs old.  Treatment was tough enough (surgery, DD ACT, radiation ).  I'd hate to think how much harder the treatment would've been if I had waited for the mammo till I was 50....assuming I would've lived that long.

    I'm just glad the under 50 yo who are on this site are the ONLY reason why this new recommendation is full of crap.  Our voices should never die as long as this recommendation is standard operating proceedure....

    Rebecca

  • thenewme
    thenewme Member Posts: 1,611
    edited November 2009

    Woohooo -Gorilla - thanks for posting!!! You should post more often!  Major congrats on 5 years out from Triple Negative!!

    This has me fuming too!  I was 39 at diagnosis, never had a mammogram since I was "too young" for even a baseline mammo!  Yes - TN is very aggressive, with higher recurrence rates and mortality rates and tends to hit YOUNG women!  How very backward this new recommendation is - they should start screening younger, not older!

  • Meece
    Meece Member Posts: 19,483
    edited November 2009

    I was dx with IDC at 40, and found it by self exam.  I hear we are not supposed to do that anymore since it is really ineffective.  INEFFECTIVE my ....goodness!  I had a mammo, us, bx,surgery, 4 x AC, 4 x Taxol, 6 wks rads.  I don't want to go through that again.  Why do they want anyone to go through it if they don't have to?   Grrrrrrrrrrrrrrrrrrrrrrrrrrr

  • smithlme
    smithlme Member Posts: 1,322
    edited November 2009

    Has Dr. Susan Love ever had breast cancer?

    I, too was diagnosed with TN IDC at 47 and a new primary of ER+/PR- DCIS at 48. A mammogram found both. I'd be dead if I would have waited two years. And WTF is it about self exams not being helpful? Where/who are the women these people studied?

    Linda

  • AmyIsStrong
    AmyIsStrong Member Posts: 1,755
    edited November 2009

    As the day progresses, I find myself more and more upset about this. The ONLY good thing is that breast cancer and the need for good dx and A CURE is on everyone's minds today. i just hope women don't start saying "Oh I don't need to do that monthly exam - they say it doesn't help" and "I don't need the mammogram - it is proven ineffective."  THEN you will see more late stage dx and more losses. How can it be otherwise?

    I just can't BELIEVE they don't think self exams make a difference. How can they HURT?

  • cancerviking
    cancerviking Member Posts: 46
    edited November 2009

    It seems like we are going backwards.  My IDC was diagnosed at age 41 and at 1.7 cm it was a lump nobody could feel. If it was not for my routine screening mammogram I believe the cancer would not have been caught so early.  TNBC tends to be more prevalent in younger women and needs aggressive treatment.  I fear the new guidelines are going to make women more complacent and breast cancer will not be found until it is more advanced.  How many sisters are going to have to die unnecessarily?  With the increase in obesity, increase in hormone's in our environment in the meat we eat, with the increase in hormones in our water supply from birth control all the chemicals we are exposed to in our environment it is no surprise that there are so many battling cancer.  I just pray that cancer can be found early enough so the battle can be won.

    We survivors need to stand strong for our sisters, mothers and daughters and encourage all women to get their mammograms regardless of what the guidelines say!!!

    Pam 

  • Babyface
    Babyface Member Posts: 91
    edited November 2009

    As ive posted before ...I was 45 when I was diagnosed with TN BC that also happened to be metaplastic(which for the uninitiated is even more aggressive). When I showed up at my GP with lump on boob he didnt want to order a mammo because" I was too young to have BC). Had dh and I listened to him I wouldnt be here posting now 5 years after the fact. I was watching this on CNN and I actually started to cry. Women should not have to fight for mammo's !

  • thenewme
    thenewme Member Posts: 1,611
    edited November 2009
    As always, I look for facts to support an emotional response.

    FACT: 19,000 to 38,000 women are diagnosed with triple negative breast cancer every year. (10-20% of roughly 190,000 new cases of breast cancer diagnosed in the US each year[1])

    FACT: Triple negative breast cancer occurs most often in younger women and African-American women [2], commonly premenopausal. The average age of menopause, per the US National Institute of health, is 51 years old [3].

    FACT: Triple negative breast cancer recurs in 32% of patients within 5 years, and the average survival time for TNBC after recurrence is 9 months [1].

    I know statistics can be manipulated and research is often conflicted, but by my calculations that works out to be 6,080 to 12,160 women in the US every year who have a recurrence of triple negative breast cancer and DIE within 9 months from this cancer that is prevalent in women under 51!!!

    That's only for triple negative cancer, which is a very small subset of breast cancer cases!

    FACT: I am one of the 19,000-38,000 women diagnosed with TN breast cancer last year, and I was 39. My 5, 8, and 14 year-old children, my husband, and family and friends are hoping I'm not one of the 6-12,000 THOUSAND who will die of it.

    Wow.

    Sources:

    [1] http://www.curetoday.com/index.cfm/fuseaction/article.showArticleByTumorType/id/805/tumorCategory/Breast/article_id/1235

    [2] http://ww5.komen.org/KomenNewsArticle.aspx?id=7482&terms=triple+negative+ag

    [3] http://www.nia.nih.gov/healthinformation/publications/menopause.htm

  • Luah
    Luah Member Posts: 1,541
    edited November 2009

    Thanks, the newme. Great stats.  The 9-month one following recurrence (distant, local?) is dismal and very scary... just wondering about an original source on that - studies etc.?  does anyone know?  It seems there are many ladies on these boards beating those odds - at least I hope so. 

    On the other hand, I know the rate of recurrence is pretty much the inverse of 5-yr survival, so maybe it make sense.  I just hate being trip neg!!!    

  • qjett
    qjett Member Posts: 1
    edited November 2009

    I'm a newbie also. I specifically joined to discuss the proposed government changes. As a survivor who was diagnosed at 38, I can not sit back and watch our government have such disregard for our healthy sisters. We have not raised all this money for research and walked all those miles to be treated this way. Maybe it's time for all of us pink tennis shoe wearing women to unite and march on Washington to save our sisters hey, it could be the "Save Our Sisters March". Has anyone heard of such an event being organized. I know if I'm thinking this other women out there have to be. 

  • thenewme
    thenewme Member Posts: 1,611
    edited November 2009

    Hi Luah,

    I agree - the stats for us seem very dismal and scary, but I believe it's important to know what we're up against.  The good news is that if we can get to that 3-year recurrence peak, our risk drops below that of other types!  There is a lot of research being done for TNBC now, thanks in part to people like us who become the unexpected faces of BC. I just LOVE seeing the women posting here who are beating the TN odds - it gives such a sense of hope. 

    http://clincancerres.aacrjournals.org/content/13/15/4429.full 

    For me, knowing these stats helps to strengthen my resolve to fight for myself physically and emotionally, and to fight in an activist way in an attempt to make changes that are meaningful for my children and their children.  I surely didn't ever want to (or see myself) being a poster child for anything like this, and it's a role I don't really feel comfortable with, but guess what.... here I am.  If I don't fight for things like younger screening for BC, then who will? 

    I always follow the postings of other TNs here and even in the Stage IV forum.  I'm comforted by the fact that these are *real* people fighting and struggling and laughing and crying together, getting past a lot of the deceptions and superficial crap that sometimes abounds elsewhere. 

    Oops, kind of got off track there, but my point is that if nothing else, we TNs are fighters.

  • Titan
    Titan Member Posts: 2,956
    edited November 2009

    My co-worker is TN..6 years out from diagnosis...I have talked to her and she doesn't think we should freak..that much..her doctor told her a few years ago that she was good to go..and she is..she said she was GLAD she didn't have to take anymore drugs...she takes great care of herself..exercises, eats right...I'm not sure about those stats above...she is my hope...

  • Titan
    Titan Member Posts: 2,956
    edited November 2009

    Speaking of stats...I have read that 77% of tn survive 5 years comparied to 90% + of other breast cancers..yes..that is alot... 15%  but....remember that TN cancer comes on so freaking quickly compared to other cancers...that sometimes we are at a much later stage when "caught"...I had a mammo in Aug 08..(clean)..found the lump in Jan 09..it was 1.8 cm...luckly no node involvement..but if I would have waited until Aug 09 for another mammo I doubt I would be here right now..or very, very sick...maybe that is why our stats are so bad...the damn TN comes so quickly that we barely have time to take care of it before we are at a later stage..that could skew the stats a bit...don't know for sure...just thinking about it.

  • rumoret
    rumoret Member Posts: 685
    edited November 2009

    I am more upset that they are down playing Monthly Self Breast Exams.....that is how I found mine. My dear friend who has since passed found hers by doing self exams........in fact it was the first time she ever felt her boobs for lumps....she had triple negative.

    My niece has a thick area under her right arm and has been under a lot of stress the last 3 years. I told her to get it checked out and emailed her information--she is 35 years old. I guess I could of told her to ignore it and just get on with her life...........HELL NO!

    I am so pissed I can hardly see straight!

    I ALSO WANT TO KNOW WHERE ALL OF THE MONEY THAT HAS BEEN DONATED IN VARIOUS BREAST CANCER GROUPS ARE GOING TO NOW? Is the Cancer Society going to jump on board this VOODOO Health Care? If they do.......I WILL TRASH THEM and every other organization that TURNS THEIR BACK ON WOMEN AND MEN.

    Women who fall in the minority classes SHOULD BE OUTRAGED! People have worked hard going door to door in some very poor under served neighborhoods to educate the women about early detection.............NOW WHAT DO THEY SAY!

    NEVER, NEVER, allow these BOUGHT OUT MEDICAL ADVOCATES to take away all of the hard work we have been doing! This is just the beginning of taking away our HEALTH CARE!

    I LOVE YOU ALL SISTERS!

    Terry 

  • Rose_wood
    Rose_wood Member Posts: 48
    edited November 2009

    These new guidelines are ridiculous!  What's next?  They tell us to eat healthy and exercise, etc., but skip those monthly BSE and only get a mammo every other year.  Probably some big insurance company (s) saying if you want to lower costs then stop all the testing!  Well, the testing and the expensive treatment is what saved my life.  Early detection and BSE will probably be a thing of the past in another decade or two when the "new age" doctors start replacing those retiring.

  • jenn3
    jenn3 Member Posts: 3,316
    edited November 2009

    I cannot believe they are saying no mammograms and self exams are unneccesary.  I agree they're not perfect, but what test is perfect - they all have flaws.  Knowing your breast is so important - knowing where the lumps and bumps are help you to know when something just isn't right.  I had regular mammograms and found my lump two months before my regular mammogram.  Personally, I believe mammograms and self exams are extremely important, both helped me to get dx'd - I was was dx'd at Stage III, TNBC, age 43 - this is with regular mammograms starting at 40.  And.... had I not already had my mammogram scheduled and called my dr with my findings I was told they would have told me to monitor it for several months because I wasn't a candidate for cancer.

    Without giving myself a self exam I would not have found my lump and the mammogram not only confirmed the one I found, but found several more lumps in my breast (only 2 with cancer) several and huge lumps in my lymph nodes, which I had not found.

  • Gorilla12
    Gorilla12 Member Posts: 63
    edited November 2009

    I am grateful to be here to share Thanksgiving with my family. Wishing everyone a very HAPPY THANKSGIVING!

  • Luah
    Luah Member Posts: 1,541
    edited November 2009

    Hey thenewme: Thanks for the source - great article on Trip Neg.  And being in Toronto, I have a lot of respect for the people at Princess Margaret. I take some comfort in knowing that the cohort that was followed was diagnosed from 1987 to 1997 - therefore would not have had the benefit of the 3rd gen chemo regimens we are now routinely given to control distant recurrence. 

    I'm not sure how I feel about the U.S. guidelines - not to stir up a hornet's nest here, but they are actually what has been in effect in Canada for some time (based on population-based evidence of relative risk/cost/benefit).  That didn't stop me from getting annual screening mammos from my mid-40s onwards (covered by our public system) based on my doc's recommendation... mammos, I will add, that didn't detect my cancer even after it was palpable!  Also, while "formal BSE" is no longer advocated here in Canada either, I don't know a doc who wouldn't advise women to regularly feel their breasts and report any breast changes i.e. be breast aware.

    In some ways I see the controversy stemming as much from flawed communication as anything else -- but maybe that's just a personal bias as I work in communications.    

  • Sugar77
    Sugar77 Member Posts: 2,138
    edited November 2009

    I also live in Ontario, Canada and mammogram screening starts at 50 in this province. Fortunately my family doctor's policy is a screening basline for the file at 45 and this was the magic year for me. I had mine done and they found a cluster of microcalcifications.  After a biopsy that found only Atypical Ductal Hyperplasia, I needed to have a lumpectomy to remove the ADH in case there was any DCIS nearby.  Well to everyone's surprise, there was DCIS plus an invasive focus, which was triple negative. It was too small to be felt during my physical or during the very detailed exam the breast surgeon gave me before the biopsy.  Had my family doctor not ordered this screening "for the file"...I don't even want to imagine what would have happened. You'd be amazed how many women I know who haven't had a mammogram even by 50 because not all doctors order them here, unless they have a policy like mine does or if there is a family history or other reason to have it done.  Someone was looking out for me!!

  • cheranthia
    cheranthia Member Posts: 65
    edited November 2009

    Does anyone else find the additional recommendation to decide when to have a mammo in consultation with one's physician more than a bit off-putting? Of course, it's always a great idea to ask your doctor about any health concern, but this is the group we look to for recommendations. When it comes to any individual case, they back off of the recommendation of waiting until 50 and say, "Don't ask us. Ask your doctor." It's because they used to say go get a mammo at 40 that we get the appointment to talk to the doc in the first place. That's when the conversation they recommend takes place! Certainly they must know this. How irresponsible! 

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