Our Summary

This research study looked at the impact of the COVID-19 pandemic on mammography use and breast cancer diagnosis. The pandemic led to a decrease in the use of mammograms, which are X-ray images of the breasts used to check for breast cancer. As a result, there were fewer recommendations for breast biopsies, a test that examines breast tissue to check for cancer, during the pandemic from March to September 2020 compared to the same period in 2019. This could have led to delays in diagnosing breast cancer.

The study revealed that there were 24% fewer biopsy recommendations in 2020 compared to 2019, and the number of detected cancers dropped significantly, especially those found through screening rather than symptoms. The decrease in cancer diagnoses was highest among Asian and Hispanic women, followed by Black women, and smallest among non-Hispanic White women.

In simpler terms, the COVID-19 pandemic may have led to delayed or missed breast cancer diagnoses because fewer women were getting mammograms and biopsies, especially among Asian, Hispanic, and Black women.

FAQs

  1. How did the COVID-19 pandemic impact the use of mammography and breast cancer diagnosis?
  2. How did the number of breast biopsy recommendations in 2020 compare to 2019, according to the study?
  3. Which racial or ethnic groups experienced the highest decrease in cancer diagnoses during the COVID-19 pandemic?

Doctor’s Tip

Therefore, it is important to prioritize scheduling your mammogram and any necessary follow-up tests, such as a breast biopsy, to ensure early detection and treatment of any potential breast cancer. Don’t delay or skip these important screenings, as early detection can greatly improve your chances of successful treatment and recovery. Remember, your health should always come first, even during challenging times like a global pandemic.

Suitable For

Patients who are typically recommended for breast biopsy include those with abnormal findings on a mammogram, such as suspicious lumps or masses, changes in breast tissue density, or abnormal calcifications. Other patients who may be recommended for a breast biopsy include those with symptoms such as breast pain, nipple discharge, or skin changes, as well as individuals with a family history of breast cancer or genetic mutations that increase their risk of developing breast cancer. It is important for patients to follow through with recommended breast biopsies to accurately diagnose and treat any potential breast cancer.

Timeline

Before a breast biopsy:

  1. Patient notices a lump or other abnormality in the breast during self-exam or routine screening mammogram.
  2. Patient consults with their healthcare provider who recommends a breast biopsy.
  3. Patient schedules an appointment for the biopsy procedure.
  4. Patient may undergo additional imaging tests such as ultrasound or MRI before the biopsy.

After a breast biopsy:

  1. Patient undergoes the biopsy procedure, which can be done using a needle or surgical incision.
  2. Patient may experience some discomfort or soreness at the biopsy site.
  3. Biopsy sample is sent to a lab for analysis.
  4. Patient waits for the biopsy results, which can take a few days to a week.
  5. Patient receives the biopsy results and discusses next steps with their healthcare provider, which may include further testing or treatment if cancer is detected.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast biopsy include:

  1. What type of biopsy do you recommend for me and why?
  2. How will the biopsy be performed and what can I expect during the procedure?
  3. Are there any risks or complications associated with the biopsy?
  4. How long will it take to get the results of the biopsy?
  5. What will the biopsy results tell us and what are the next steps depending on the outcome?
  6. How accurate is the biopsy in detecting breast cancer?
  7. Are there any alternative tests or procedures that could be considered instead of a biopsy?
  8. Will I need any follow-up appointments or additional tests after the biopsy?
  9. How soon should I schedule the biopsy and are there any specific preparations I need to make beforehand?
  10. How has the COVID-19 pandemic affected the scheduling and availability of breast biopsies, and what precautions are being taken to ensure safety during the procedure?

Reference

Authors: Lowry KP, Bissell MCS, Miglioretti DL, Kerlikowske K, Alsheik N, Macarol T, Bowles EJA, Buist DSM, Tosteson ANA, Henderson L, Herschorn SD, Wernli KJ, Weaver DL, Stout NK, Sprague BL. Journal: Radiology. 2022 May;303(2):287-294. doi: 10.1148/radiol.2021211808. Epub 2021 Oct 19. PMID: 34665032