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Similar to other medical investigations and procedures, screening tests for cancer has both benefits and potential harms. Here is a brief summary about the potential harms of screening. A screening mammogram is done to diagnose the presence of early cancer of breast. Diagnosis and early treatment of a breast cancer through screening mammography does not always mean that the patient’s life can be saved. This is so, because the tumour might be a fast-growing one, which might have metastasized to other parts of the body; or she might have been suffering from some other life-threatening diseases.
False-negative results in mammography can occur at the time of screening thereby missing the presence of the tumour. This happens because of high breast density, and this is more common in young women rather than older women, as younger women have denser breasts. False-negative results can delay treatment in affected women. False-positive results occur when radiologists interpret that mammograms are abnormal but cancer is actually absent. All abnormal mammograms should be followed up with additional diagnostic testing like ultrasound, and/or biopsy to confirm the presence of cancer. False-positive results are found to be more common in younger women, presence of a family history of breast cancer, and women under estrogen therapy. False-positive results can result in anxiety, depression and other psychological disorders related to distress in affected women. Apart from this, the additional testing required for the confirmation of cancer are usually expensive, time- consuming and can cause physical fatigue/discomfort.
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