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Doctors should avoid saying "cancer" for minor lesions – study | society



The word "cancer" should be dropped from some medical diagnoses because the term may scare people into invasive treatments that they do not need, say Australian and American researchers.

An analysis published on the British Medical Journal on Monday described "cancer" as particularly problematic when describing some small thyroid carcinomas less than 1

cm in size, some low and medium grade breast cancers, and localized prostate cancer.

Medical technology is now so advanced that abnormal cell changes and lesions are sometimes described as "pre-cancerous," and could never be found at much smaller sizes than clinically. However, in some types of cancer, these early lesions or lesions will never cause harm during the lifetime of the patient. But identifying these changes can cause stress and cause patients to seek treatment to get rid of them.

"The use of more medical labels can increase both concern about illness and the desire for more invasive treatment," it said in the analysis

. "Cancer has been linked to death for decades, and this association is firmly rooted in society with the public health message that cancer screening saves lives." This ad was used with the best of intentions, but used in part to provoke anxiety and vulnerability in the population then give hope by screening.

"Although the label must be biologically accurate, it must also be something that patients can understand and that does not cause disproportionate concern.

The analysis was led by Brooke Nickel of the University of Sydney, and researchers from the Queensland Bond University and the Mayo Clinic in the US also contributed.

A prime example of the negative effects of using the Word has been observed in low-risk thyroid carcinomas, according to Nickel

"Studies show that the progression to clinical disease and tumor growth in patients with small papillary thyroid cancer undergoing surgery is similar to those monitoring their condition ,

Similarly, for localized prostate cancers, where active surveillance was a recommended treatment option for many years, studies show that internationally, most men still prefer radical prostatectomy or radiation therapy.

"While active surveillance is increasingly considered a safe treatment option For some cancer patients, there is still a strong belief that aggressive treatments are always needed, "said a co-author of the study, Prof Kirsten McCaffery.

Cancer Council Australia's CEO, Prof. Sanchia Arand a, is the cancer label Removal of cervical anomalies discovered during a Pap smear had led to more women being preferred to invasive treatment.

"We would have preferred that to other tumors that have been shown to be harmless." The authors call for a global one n round table to agree on the literature "Aranda said that low and medium grade breast cancers, called ductal carcinoma in situ (DCIS), are" one of the biggest problems "in over-treatment and overdiagnosis

" It It was believed that if these lesions could be diagnosed first, they all would become invasive cancers, "Aranda said.

"It is becoming clearer that they will not do it: for every woman who has helped prevent DCIS removal, more women have had an unnecessary operation.

" Mammography is discovering ever smaller lesions, which surpasses our ability to know what they become and what has to do with them. "


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