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KMID : 1039620140040010001
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Korean Journal of Family Practice
2014 Volume.4 No. 1 p.1 ~ p.6
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On the Benefi ts and Harms of Mammography for Breast Cancer Screening in Korean Women
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Bae Jong-Myon
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Abstract
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As breast cancer is becoming more prevalent in Korean women, mammography screening for early cancer detection is very important. However, risks, including over-prescription of mammography screening, have been emphasized recently. The governments of Canada and the USA have reported that women younger than 50 years of age do not need to be screened routinely. The main reason for this recommendation is that the risk of over-diagnosis and biopsy may be greater than the benefit of decreasing mortality in younger women. Korean women have a 1/3 lower incidence rate than non-Hispanic White women, and the peak age group in Korean and USA women are 45 to 49 and 75 to 79 years, respectively. These epidemiological findings indicate that Korean women have a higher risk of unnecessary interventions and anti-cancer treatment as they have a higher chance of false positive in screening mammography. These results suggest that the national screening guidelines for Korean women should be adapted and screening mammography in normal risk healthy women should be optional.
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KEYWORD
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Guidelines, Mammography, Mass Screening, Breast Neoplasms
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