Professional Documents
Culture Documents
Screening Scare
The fact is, we don’t know
who is going to get cancer
and who is not (“What’s
Wrong with Cancer Tests”).
We don’t know which can-
cers will respond to early
detection and treatment
and which will not. But at
the American Cancer Soci-
ety, we accept the risks of
overdiagnosis and treat- I was told I had an abdominal aneurysm. Every
ment because we believe
that screening procedures,
year, I had tests to see how much it had grown,
when applied to large num- but there was never any change. Six months ago,
bers of men and women, an MRI showed no aneurysm at all. All that time,
do save lives. money, and worry for nothing. Too many doctors
To suggest that cancer routinely order tests, and the results are often
screening has hurt more
misinterpreted. Edith Hach, Phoenix, Arizona
than it has helped is ludi-
crous. Cancer screening, as
imperfect as it may be, is not the Your article presented an unbalanced
place to start cutting back on one’s perspective on colorectal cancer.
health care. Please do not provide Colonoscopy screening allows doc-
your readers with horror stories tors to identify and remove polyps
that strike fear. Inform, educate, (precursors of cancer), therefore
JANA LEON/STONE/ GETTY IMAGES
and guide them. But do not scare preventing cancer from developing
them. That is a terrible disservice. in the first place. The lifetime risk
Len Lichtenf eld, MD, M ACP, for developing colorectal cancer is
deputy chief medical officer, American Cancer Society approximately 6 percent, and we
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