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Mammograms may not benefit younger women Findings reported from Canadian study


Researchers who conducted one of the world's largest studies of mammograms said yesterday there was no truth to reports, circulating at medical conferences and among oncologists, that the results concluded women under 50 were more likely to die of breast cancer after they receive the tests.

Data from the study have not yet been published, but preliminary results from the large Canadian study suggest that women between the ages of 40 and 49 do not benefit from routine mammograms.

"We have been telling people for two years that there is as yet no benefit observed for women in this age group," said Dr. Cornelia Baines, deputy director of the Canadian National Breast Screening Study.

"But there are devastating implications to the claim of excess mortality, and this is certainly nothing we have released for publication," she said. The Canadian National Breast Screening Study, which involves 90,000 women, was started in 1980 with the purpose of evaluating the usefulness of screening mammograms in women between the ages of 40 and 60.

Previous studies had shown the effectiveness of an annual test RTC in women over 50, but doctors were hoping the Canadian trial would help them advise women in their 40s.

Researchers who attended recent conferences said the the Canadian researchers reported early results suggesting that deaths from breast cancer might be somewhat higher in women 40 to 49 who had mammograms.

Dr. Baines would not say what results she and her fellow researchers had discussed. But in any event, the discussion was "preliminary and in confidence and some colleagues haven't understood those words," Dr. Baines said. "There have since been major changes in our data analysis."

But others faulted the Canadians for discussing the early findings and challenged even the remaining finding that mammograms were not useful for women in their 40s.

Most breast cancer experts in the United States remain convinced that annual mammogram are advisable in this age group.

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