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This is a book whose moment has come. Everyone who is concerned about the suggested new guidelines for mammograms should read it. Published in 2004 and written for the general public, it discusses how guidelines for cancer screening tests are arrived at and what screening can and can't do. Intuitively we all believe that catching cancer as early as possible must be beneficial, but it turns out that there are problems with this approach.
"False-positive" results, calling for repeated tests or biopsies, cause many people considerable stress and anxiety. The more frequently one has the screening test, the higher the chance of having a false-positive result.
Some tiny cancers will be dealt with by the body's immune system and never develop. Others will grow so slowly that they would not cause a problem in the person's lifetime. Treating them all aggressively may do more harm than good.
Most of us think a cancer diagnosis is straightforward: if one has a biopsy, we think, there will be a clear yes or no answer. I was amazed to discover from the book that while in many biopsies there is no disagreement whether the tissue samples do or do not contain cancer, in others highly experienced pathologists will characterize them differently.
I very warmly recommend this book. I wish I had read it a year ago, when I was going through a prolonged and confusing period of testing and a biopsy, but even after the fact it has greatly reduced my anxiety and given me a much better grasp of what cancer is and how to approach dealing with it.
johnnyjumpup
Aug 16, 2007
Useful overall
This book asks a lot of useful questions, and points out the problems with cancer testing that most doctors or clinics will not mention. I give it 4 stars, as I feel some issues were not covered, like the danger of radiation from mammograms. The distinction between absolute risk and relative risk is essential to question regarding both tests and treatments.
