Europe South Asia Asia Pacific Americas Middle East Africa BBC Homepage World Service Education



Front Page

World

UK

UK Politics

Business

Sci/Tech

Health

Education

Sport

Entertainment

Talking Point

In Depth

On Air

Archive
Feedback
Low Graphics
Help

Friday, June 4, 1999 Published at 03:02 GMT 04:02 UK


Health

Earlier screening 'could save lives'

Breast scanning can spot cancers early and make treatment easier

The UK breast screening programme should be lowered to include women under 50 years of age, say researchers.


The BBC's Christine McGourty: Breast cancer is more difficult to detect in younger women
The NHS currently offers breast screening once every three years to women aged between 50 and 64 years old.

Critics of screening say the money it uses would save more lives if invested into research into chemotherapy drugs and radiotherapy techniques.


[ image: Critics say money would be better spent on developing drug treatments]
Critics say money would be better spent on developing drug treatments
But two major trials, whose results are published in The Lancet, confirm that in general, breast screening saves lives.

But they also appear to show that screening women in their 40s is just as effective as screening them later in life.

The NHS Breast Screening Programme gave the report a cautious welcome, but said it was now waiting for more concrete proof.

A spokesman said: "The trial was not designed to look at the specific effects on particular age groups.

"We are therefore looking forward to the results of the Age Trial which involves inviting 65,000 women in their 40s."


Delyth Morgan of Breakthrough Breast Cancer: It does cost money but we're talking about lives here
However, the results of this will not be available until at least next year.

The results of the two trials involved a total of 300,000 women.

One of them, conducted in Edinburgh, studied more than 54,000 women between 40 and 50 years old - half of whom were screened, and half who were not.

Lower death rate

After 14 years, death rates from breast cancer were 21% lower in the screened group than in the other.

The study concludes: "The results for younger women suggests benefit from the introduction of screening before 50 years of age."

East London GP Dr Gaby Tobias, who helped author a set of guidelines on how breast disease should be managed, said that a comprehensive study would be needed to persuade the screening programme to extend below 50.

She said: "People have been trying to see if this is true for a long time.

"It would be good news if it did save lives below 50, as there are a lot of tragic stories of very young women dying very quickly.

"Breast cancer tends to be quite aggressive in younger women."

Around 15,000 women a year die from the disease, although the screening programme estimates that 1,250 a year are saved through its efforts.



Advanced options | Search tips




Back to top | BBC News Home | BBC Homepage | ©


Health Contents

Background Briefings
Medical notes

Relevant Stories

22 Mar 99 | Health
Cancer screening ' should be extended'

11 Mar 99 | Health
Breast screening row hots up

02 Mar 99 | Health
Early warning for second biggest cancer killer

05 Feb 99 | Health
Restricting cervical screening could save millions

04 Feb 99 | Health
Fury over call to privatise screening





Internet Links


NHS Breast Screening Programme

Breakthrough Breast Cancer

The Lancet


The BBC is not responsible for the content of external internet sites.




In this section

Disability in depth

Spotlight: Bristol inquiry

Antibiotics: A fading wonder

Mental health: An overview

Alternative medicine: A growth industry

The meningitis files

Long-term care: A special report

Aids up close

From cradle to grave

NHS reforms: A guide

NHS Performance 1999

From Special Report
NHS in crisis: Special report

British Medical Association conference '99

Royal College of Nursing conference '99