Radiation-Induced Breast Cancer
Authors: William T. Phillips, Ralph Blumhardt
Journal: Annals of Internal Medicine (2016)

Letters20 September 2016Radiation-Induced Breast CancerWilliam T. Phillips, MD and Ralph Blumhardt, MDWilliam T. Phillips, MDFrom University of Texas Health Science Center at San Antonio, San Antonio, Texas.Search for more papers by this author and Ralph Blumhardt, MDFrom University of Texas Health Science Center at San Antonio, San Antonio, Texas.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0363 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We are concerned that women reading Miglioretti and colleagues' article (1) may choose not to have screening mammography because of fears of radiation-induced breast cancer. In their related editorial, Laine and associates (2) reference the U.S. Preventive Services Task Force's statement that “women deserve to be aware of what the science says so they can make the best choice for themselves, together with their doctor.” So, what is the science behind screening with mammography? On the positive side, women aged 50 to 69 years undergoing screening mammography have a 25% to 31% relative reduction in deaths from ...References1. Miglioretti DL, Lange J, van den Broek JJ, Lee CI, van Ravesteyn NT, Ritley D, et al. Radiation-induced breast cancer incidence and mortality from digital mammography screening: a modeling study. Ann Intern Med. 2016;164:205-14. [PMID: 26756460]. doi:10.7326/M15-1241 LinkGoogle Scholar2. Laine C, Dickersin K, Mulrow C. Time to douse the firestorm around breast cancer screening. Ann Intern Med. 2016;164:303-4. [PMID: 26757446]. doi:10.7326/M15-2978 LinkGoogle Scholar3. Nelson HD, Fu R, Cantor A, Pappas M, Daeges M, Humphrey L. Effectiveness of breast cancer screening: systematic review and meta-analysis to update the 2009 U.S. Preventive Services Task Force recommendation. Ann Intern Med. 2016;164:244-55. [PMID: 26756588]. doi:10.7326/M15-0969 LinkGoogle Scholar4. Siegel JA, Pennington CW, Sacks B, Welsh JS. The birth of the illegitimate linear no-threshold model: an invalid paradigm for estimating risk following low-dose radiation exposure. Am J Clin Oncol. 2015. [PMID: 26535990] CrossrefMedlineGoogle Scholar5. Blumhardt R, Wolin EA, Phillips WT, Salman UA, Walker RC, Stack BC, et al. Current controversies in the initial post-surgical radioactive iodine therapy for thyroid cancer: a narrative review. Endocr Relat Cancer. 2014;21:R473-84. [PMID: 25277792] doi:10.1530/ERC-14-0286 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Texas Health Science Center at San Antonio, San Antonio, Texas.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0363. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoRadiation-Induced Breast Cancer Incidence and Mortality From Digital Mammography Screening Diana L. Miglioretti , Jane Lange , Jeroen J. van den Broek , Christoph I. Lee , Nicolien T. van Ravesteyn , Dominique Ritley , Karla Kerlikowske , Joshua J. Fenton , Joy Melnikow , Harry J. de Koning , and Rebecca A. Hubbard Radiation-Induced Breast Cancer Diana L. Miglioretti and Christoph I. Lee Metrics 20 September 2016Volume 165, Issue 6Page: 451-452KeywordsBreast cancerBreast cancer screeningCancer screeningDisclosureFearMammographyRadiation therapyThyroidThyroid carcinoma ePublished: 20 September 2016 Issue Published: 20 September 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...