Dr. J. Leonard Lichtenfeld

CT
CT colonography and Medicare: Are we the enemy?
In this editorial opinion, Dr. Len Lichtenfeld, deputy chief medical officer for the American Cancer Society, outlines his concerns over an editorial in the New England Journal of Medicine praising the decision by the U.S. Centers for Medicare and Medicaid Services not to cover CT colonography -- as well as his objections to the CMS decision itself.
June 23, 2009
2009 06 23 14 37 33 976 Second Opinion Am
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Women who skip first mammogram more likely to die of breast cancer
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Women who do not participate in their first breast cancer screening are 40% more likely to die later from the disease.
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Images in a 62-year-old woman who presented for screening. (A) Image from DBT screening (the synthesized 2D mediolateral oblique view of the left breast is shown) at year on was interpreted as negative and showing heterogeneously dense breast. (B) Image from molecular breast imaging screening (mediolateral oblique view) at year one reveals a 0.9-cm non-mass focal area of uptake in the left breast (arrow). (C) Targeted ultrasound scan (transverse image) shows a suspicious mass in the 3-o’clock position of the left breast, 4 cm from the nipple. Ultrasound-guided core biopsy and lumpectomy revealed a 0.9-cm grade 2 invasive ductal carcinoma, an estrogen receptor–negative, progesterone receptor–negative, human epidermal growth factor receptor 2–negative lesion, with two sentinel nodes negative (N0).
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