Why a One-Size-Fits-All Approach to Breast Cancer Prevention Can Leave Women Vulnerable

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A one-size-fits-all approach to breast cancer screening is outdated. Dr. Laura Esserman's WISDOM study is focused on finding an alternative.

,” says Esserman, who removed Mann’s cancer through surgery in January 2020. “Her tumor was very small, and she was able to do a fairly small surgery and take it out. And CHEK2 mutations are almost all hormone-positive, so by taking endocrine therapy, she reduced the risk that she would get breast cancer on the other side, and she didn’t feel that she had to have a bilateral mastectomy. And she’s done incredibly well.

Bauer is also thinking about her daughters and granddaughters and hopes that what she learned by joining WISDOM will help them as well. Because both of her sisters died of breast cancer, and an aunt passed away from ovarian cancer, for 30 years, her doctors recommended that she get an annual mammogram, MRI of her breasts and a pelvic ultrasound. While she followed their advice, she didn’t relish the experience.

Convincing her doctor to let her shift to getting a mammogram once every two years, however, is a little more complicated. Bauer is concerned that her relief might not be shared by her doctor, who for years has been advising her based on the assumption that she is at higher risk of developing the disease.

 

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