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To: Patricia Trinchero who wrote (217241)	1/11/2002 1:53:41 PM
From: gao seng	Read Replies (1) \| Respond to of 769669

You are very noble. As you say, there are limitations to mammogram. Accepting it as the gold standard and saying nothing else needs be done in terms of early detection, is something I do not agree with. I am only responding, because I feel sympathetic to your plight, as others do I am sure, and do not want to be painted as a monster for supporting research into other technologies in the realm of early detection of breast cancer. nytimes.com Study Sets Off Debate Over Mammograms' Value

To: Patricia Trinchero who wrote (217241)	1/11/2002 2:48:35 PM
From: Gordon A. Langston	Read Replies (1) \| Respond to of 769669

There are many factors that affect mammogram accuracy and ultimately survival. Many of those factors can't be controlled. Age is of particular importance because of the type of breast tissue that exists in younger women. It is harder for radiologists to detect the cancer in pre-menopausal women because of the density of adipose ( fat ) calls. Pat, my wife learned you have to be aggressive with these health providers. She got an appointment in Nov. 2000 for a mammogram that through various screw-ups ended up happening in July of 2001. It showed a spot that warranted a closer look and it proved negative but the amount of time that went by was about 9 months, enough time for a cancer to get real. The lesson, ....do not take it for granted that providers have your best interests at heart, it's at bottom line a business. P.S. Mammograms are a problem. They sometimes show something that isn't there and miss what is there. Just how cost effective they are versus the next best testing method I'm not sure. What do you think?