Interviewed by phone, Stamatia Destounis, MD, managing partner of the Elizabeth Wende Breast Care in Rochester, NY, said she agrees with Kopans. "We can't live in that world where Dr. Jorgenson lives. The problem is that these early cancers, if left in the breast, no one knows the magical time they can turn into invasive cancer, or that they won't become a bigger or life-threatening problem down the line."
Destounis, a fellow with the American College of Radiology, said that to radiologists and clinicians, "The abnormality that may kill looks the same as the one that may wax and wane and do very little for years."
"We think mammography has helped reducing mortality by finding these small breast cancers that are very treatable," she said.