Intended for healthcare professionals

Rapid response to:

Letters Breast screening

Reality of ductal carcinoma in situ

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b958 (Published 09 March 2009) Cite this as: BMJ 2009;338:b958

Rapid Response:

The third side of the breast screening coin

This is the third side of the breast screening coin and one that is
talked about even less than the issue of over-diagnosis and unnecessary
treatment.

It is now widely accepted that, for every one woman who has her life
prolonged as a result of breast screening, 10 are harmed. In my case, this
harm was serious and persisting - I am at present in bed recovering from
yet another bout of cellulitis.

However, no-one seems to be counting how many women are failed
because screening does not pick up an obvious cancer. Surely it is not
beyond the wit of someone to collect data on every woman diagnosed with
breast cancer within, say, a year of having had a supposedly clear
mammogram? Or is someone worried that this will show up so many false
negatives that the whole brest screening programme will fall even further
into disrepute?

Competing interests:
None declared

Competing interests: No competing interests

29 March 2009
Jane Flanders
Former patient
Not Relevant