New book shines light on mammography controversy

The subject of changing public advice over the years, mammography and the controversy over its use continue to cause confusion in the minds of many women.

A new book for lay readers entitled "Understanding the Mammography Controversy: Science, Politics, and Breast Cancer Screening" (Praeger Press), by women's health expert Dr. Madelon L. Finkel of Weill Medical College of Cornell University, provides a comprehensive guide to mammography, the mammography controversy and breast health.

The book directly addresses the still-controversial issues, such as deciding when is the "right" time to have a mammogram, what is the "right" age for mammography (the body of evidence indicates a benefit for women aged 50 to 69) and whether mammography is useful at all (it is). While not perfect, mammography is the only population-based breast cancer screening method that has been shown to actually save lives.

"It's no wonder women are confused about mammography. Sensational media stories tout the latest scientific studies, often contradicting previous findings. Above all, women need to separate the facts from the myths in order to make informed decisions about their breast health," says Dr. Finkel, professor of clinical public health and director of the Office of Global Health Education at Weill Cornell Medical College.

This book includes a timeline that details the disagreement within the scientific community and changing public advice on mammography over the years.

"The mammography debate is still not yet settled. While the latest research shows that mammography can save lives, there is still no overall consensus on what age mammogram screening should be recommended, and even whether the benefits of mammogram screening outweigh the risks in the first place," says Dr. Finkel." Each woman must consider her personal risk factors, and in consultation with her doctor, decide when and how frequently mammography should be scheduled."

The book offers readers practical information, including how to give a breast self-exam, how to communicate with one's doctor, a list of support groups and organizations for breast cancer patients, and resources for clinical trials.

"Most women will not develop breast cancer in their lifetime, and for those who do, it's no longer a death sentence. Thanks to public awareness, screening, research and new treatment options, it has become a treatable, chronic illness," says Dr. Finkel.

"Understanding the Mammography Controversy: Science, Politics, and Breast Cancer Screening" received the highest rating from BookList. The book is dedicated to the author's mother, who died of breast cancer.