BMJ 1996;312:1227 (11 May)

Letters

False positive findings of mammography will have psychological consequences

EDITOR,--We applaud E Lidbrink and colleagues' attempts to quantify the substantial disadvantages of false positive findings in patients invited to attend for breast screening.1 Clearly, a financial cost of over £250000 from a single round of screening at a well organised centre in Stockholm represents a huge sum that could have been better spent, though to us the more important feature of the report relates to the adverse psychological events. The authors state that they did not study the "possible adverse psychological consequences of the false positive mammograms in these women," but experience from daily life teaches us that nothing is so corrosive and enervating as a persisting uncertainty about the possibility of serious illness or upset. After six months only two thirds of the women (219/342) had been declared free of cancer, so one third must have spent even longer under the sword of Damocles.

Many of the malignant . . . [Full text of this article]


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