Dr. Nicholas Montalto Talks About Screening for Cancers

Our mission at Albany Gynecology and Fertility is the overall well being of our patients.  Screening for cancers, such as breast cancer and cervical cancer are part of that mission.  Physical examination and radiologic imaging comprise this screening.  There have been changes recently in the guidelines for cervical and breast cancer screening.

We have learned that whether or not a woman has Human Papilloma Virus (HPV) is critical to her chances of developing cervical cancer or precancer.  If negative for HPV and over 65-70 years old with normal pap smears, continued screening is probably unnecessary.  Furthermore, after hysterectomy with no abnormal pap smears, screening can be discontinued.

Breast cancer screening changes are much more controversial.  Recently, the United States Preventative Services Task Force (USPSTF) has recommended NOT performing screening mammography on women until the age of 50 instead of age 40.  After age 50, screen every two years until age 74.  There is insufficient evidence on mammographic screening after age 74.  The American Congress of Obstetricians and Gynecologists still advocates screening every 1-2 years from age 40 to 50 and yearly afterwards.  They are reviewing the new USPSTF guidelines.

Cancer screening guidelines will continue to change as we gain more advanced understanding of the disease processes, as well as, advances in screening technology. At Albany Gynecology and Fertility we strive to keep you informed of changes and provide you with the most “up to date” care.

Albany Gynecology and Fertility, 130 Everett Road, www.albanygyn.com, 518.482.1007