Connect with us

RSS

Jewish women should get mammograms at 40, experts say. Here’s why.

When Yaffa Leah Field was in her late 20s, she decided to undergo genetic testing.

Her grandmother had had breast cancer, and Field wanted to know whether she was among the one of every 40 Jewish women of Ashkenazi descent with either the BRCA1 or BRCA2 genetic mutations, which make them extra susceptible to breast cancer.

If she did have one of those mutations, her chances of developing breast cancer by age 70 would be roughly 50% in her lifetime, according to the Centers for Disease Control.

“The test came back negative,” said Field, now 43 and the mother of three boys.

Though temporarily relieved, she knew that breast cancer risk is not limited to those with the genetic mutations. Roughly one in eight women will develop the disease in their lifetime, and men, too, can have breast cancer.

Close monitoring, therefore, is essential. For women, that means not only regularly checking their breasts themselves for lumps or abnormalities, but getting mammograms. The question is when to start.

Field, who now works at Sharsheret, the national Jewish nonprofit that offers education, counseling and support to women facing breast and ovarian cancer, got her professional start as a physician’s assistant, so she knew how important it was to “do my screening on time.”

But what exactly “on time” means has been the subject of much debate and disagreement.

The question came to the fore again this spring when a panel of experts serving on the United States Preventive Services Task Force (USPSTF) revised earlier guidelines and changed the recommended age that women get their first mammograms to 40, from 50, and suggested that they continue to have mammograms done once every two years. It’s not the first time the recommendation has changed.

“In 2016 the US Task Force changed the guidelines from 40 to 50,” said Dr. Caryn Gamss, a radiologist at Murray Hill Radiology in Manhattan.

Gamss is also a member of Sharsheret’s Medical Advisory Board. In her practice, Gamss adheres to guidelines from the American College of Radiology that recommend starting yearly screenings at age 40 provided a person has no risk factors.

“Fifty is too late,” Gamss says.

Even waiting until age 40 can be risky, as recent studies have shown high breast cancer mortality rates for women in that age group, she noted.

“People need to think about it younger instead of waiting and then finding out ‘My mother had cancer, my grandmother…’ — and they show up at 40 and have cancer, too,” Gamss said.

Her recommendation is that all women undergo a breast cancer risk assessment by age 25. That entails answering a panel of questions that covers one’s family and medical history. Among other things, the assessment inquires whether a person had “a biopsy and a high risk lesion; breast density, if someone has lymphoma and was treated under the age of 25; if someone got upper abdominal radiation before age 25.”

The responses to these questions help doctors determine when and how individual patients should be screened — including whether to do MRIs and ultrasounds to supplement mammograms, for example. At-risk women should start their 30s armed with information and a plan.

Short of that, there is what Peggy Cottrell, Sharsheret’s genetics program manager, calls a general rule of thumb: “If breast cancer has been diagnosed at a particular age, you want to start screening 10 years before that. So if someone’s mother was diagnosed with breast cancer at 45, that person is going to start screening at 35.”

Avoiding smoking and alcohol, exercising, and a good diet are important to maintaining good health, Cottrell notes, but perhaps the biggest factor is chance. In fact, hereditary cancers like those caused by BRCA mutations account for only 15% of all breast cancers; most occur for reasons unknown. That makes screening all the more essential.

“For many women, knowing there is something they can do that can reduce their risk motivates them,” she said.

Many women delay getting mammograms out of fear of the results, nervousness about the process or just general anxiety. This is another area where Sharsheret provides women with help and guidance – even in the waiting room.

In order for doctors to interpret mammograms properly, they require two specific views of each breast. Sometimes, technicians need to take more than four photos to ensure they get those views; it doesn’t mean anything is wrong.

Women with no risk factors should get their first mammogram at age 40, experts now say, and to determine their level of risk, all women should undergo a breast cancer risk assessment by age 25. (Carol Yepes/Getty Images)

Even if you’re asked to come for a follow-up mammogram – what’s known as a diagnostic mammogram – it just means that more imaging is required, not that there’s necessarily a problem. Sometimes doctors observe a change in appearance from the prior year or a fold in the skin; other times the original image failed to capture the necessary view. Likewise, for some younger women and those with dense breasts, a mammogram may not suffice; doctors may require an ultrasound or MRI to examine the breast adequately.

Adina Fleischmann, a social worker who serves as Sharsheret’s chief services officer, recommends that each individual discuss their own circumstances with their healthcare provider. Sharsheret tries to promote awareness of the importance of getting breast cancer risk assessments, and to provide guidance to women about what to ask.

“We want to make sure that each woman who reaches out is able to ask the right questions: How often should I be screened? What’s the most appropriate screening method for me? Questions about what breast density means and how it can impact them,” Fleischmann said. “Those are the tools we want to give to our women.”

Women seeking guidance are encouraged to call Sharsheret toll-free at 866 474-2774 to connect with therapists and genetic counselors.

Sharsheret also offers peer-to-peer support, programs to guide cancer patients on how to talk about their illness with their children, and support to people who have a family member with breast cancer, including financial assistance for non-medical services critical to women’s quality of life and body image, such as acquiring wigs. Sharsheret also hosts live events such as barbecues, online yoga classes, family fun runs and other programs to empower women with cancer and foster a sense of community.

The education and awareness programming Sharsheret runs start as early as high school and college campuses, such as an annual Pink Day that includes grassroots fundraising events at hundreds of campuses worldwide.

“Sharsheret is here to arm you with education and to let you know that you’re not alone,” Fleischmann said. “Cancer screening, and the knowledge that comes along with it, can be empowering. By speaking with your healthcare provider about the screening guidelines that are most appropriate for you, you are taking a step toward your best health.”

As for Field, she went for her first baseline mammogram at age 40 — in the spring of 2020, just as Covid hit and the world masked up and locked down. The doctors identified something suspicious.

“It started a roller coaster of diagnostic testing. I wound up with eight biopsies, and in the end I had a bilateral mastectomy,” Field said after cancer was identified. “I feel thankful it was found very early.”

Her advice: Know your body and your family history.

“Breast cancer doesn’t just affect women 40 and older,” Field said. “Know your potential risks. Empower yourself to know what you need to be aware of. It shouldn’t be a shock. Be appropriately proactive.”

“And most importantly, when you reach the age when it’s recommended, get screened,” Field said. “It may be uncomfortable for a few minutes, but it’ll give you peace of mind.”


The post Jewish women should get mammograms at 40, experts say. Here’s why. appeared first on Jewish Telegraphic Agency.

Continue Reading

RSS

Former Columbia University President Appointed as UK Economic Adviser

Columbia University administrators and faculty, led by President Minouche Shafik, testified before the US House Committee on Education and the Workforce on April 17, 2024. Photo: Jack Gruber/Reuters Connect

i24 NewsBritish Prime Minister Keir Starmer has named Minouche Shafik, former president of Columbia University, as his chief economic adviser at Downing Street, a move aimed at stabilizing the country’s fragile economy and averting a potential budget crisis.

Shafik, an economist of Egyptian origin with dual British and American nationality, has held senior roles at the Bank of England, the IMF, and the World Bank.

She later led the London School of Economics and was elevated to the House of Lords in 2020.

Her tenure in the United States was more turbulent. Shafik stepped down as president of Columbia University in 2024 after just a year in office, amid fierce criticism over her handling of pro-Palestinian protests following the Hamas attacks of October 7, 2023, and the subsequent war in Gaza.

US officials accused her of failing to confront antisemitism on campus, while students and faculty condemned her decision to call in police to dismantle protest encampments.

Since returning to Britain, Shafik has played an active role in policy and cultural institutions. She advised Foreign Secretary David Lammy on international aid reform, has chaired the Victoria & Albert Museum since January, and led the “Economy 2030” inquiry for the Resolution Foundation, where she argued for reforms to the UK’s system of wealth taxation.

Continue Reading

RSS

Israel Mulls West Bank Annexation in Response to Moves to Recognize Palestine

The Jordan Valley. Photo: Юкатан via Wikimedia Commons.

Israel is considering annexation in the West Bank as a possible response to France and other countries recognizing a Palestinian state, according to three Israeli officials and the idea will be discussed further on Sunday, another official said.

Extension of Israeli sovereignty to the West Bank – de facto annexation of land captured in the 1967 Middle East war – was on the agenda for Prime Minister Benjamin Netanyahu’s security cabinet meeting late on Sunday that is expected to focus on the Gaza war, a member of the small circle of ministers said.

It is unclear where precisely any such measure would be applied and when, whether only in Israeli settlements or some of them, or in specific areas of the West Bank like the Jordan Valley and whether any concrete steps, which would likely entail a lengthy legislative process, would follow discussions.

Any step toward annexation in the West Bank would likely draw widespread condemnation from the Palestinians, who seek the territory for a future state, as well as Arab and Western countries. It is unclear where US President Donald Trump stands on the matter. The White House and State Department did not immediately respond to a request for comment.

A spokesperson for Israeli Foreign Minister Gideon Saar did not respond to a request for comment on whether Saar had discussed the move with his US counterpart Marco Rubio during his visit to Washington last week.

Netanyahu’s office did not immediately respond to a request for comment on whether the prime minister supports annexation and if so, where.

A past pledge by Netanyahu to annex Jewish settlements and the Jordan Valley was scrapped in 2020 in favor of normalizing ties with the United Arab Emirates and Bahrain in the Abraham Accords brokered by Trump in his first term in office.

The office of Palestinian President Mahmoud Abbas did not immediately respond to a request for comment. The United States said on Friday it would not allow Abbas to travel to New York for the United Nations gathering of world leaders, where several US allies are set to recognize Palestine as a state.

Continue Reading

RSS

Israel Pounds Gaza City Suburbs, Netanyahu to Convene Security Cabinet

Israeli Prime Minister Benjamin Netanyahu speaks to the press on Capitol Hill, Washington, DC, July 8, 2025. REUTERS/Evelyn Hockstein

Israeli forces pounded the suburbs of Gaza City overnight from the air and ground, destroying homes and driving more families out of the area as Prime Minister Benjamin Netanyahu’s security cabinet was set on Sunday to discuss a plan to seize the city.

Residents of Sheikh Radwan, one of the largest neighborhoods of Gaza City, said the territory had been under Israeli tank shelling and airstrikes throughout Saturday and on Sunday, forcing families to seek shelter in the western parts of the city.

The Israeli military has gradually escalated its operations around Gaza City over the past three weeks, and on Friday it ended temporary pauses in the area that had allowed for aid deliveries, designating it a “dangerous combat zone.”

“They are crawling into the heart of the city where hundreds of thousands are sheltering, from the east, north, and south, while bombing those areas from the air and ground to scare people to leave,” said Rezik Salah, a father of two, from Sheikh Radwan.

An Israeli official said Netanyahu’s security cabinet will convene on Sunday evening to discuss the next stages of the planned offensive to seize Gaza City, which he has described as Hamas’ last bastion.

A full-scale offensive is not expected to start for weeks. Israel says it wants to evacuate the civilian population before moving more ground forces in.

HAMAS SPOKESPERSON TARGETED

Netanyahu confirmed on Sunday that Israeli forces had targeted Abu Ubaida, the spokesperson of Hamas’ armed wing. Defense Minister Israel Katz said that Abu Ubaida was killed. Two Hamas officials contacted by Reuters did not respond to requests for comment.

Gaza health authorities said 15 people, including five children, were killed in the attack on a residential building in the heart of Gaza City.

Abu Ubaida, also known as Hozayfa Al-Khalout, is a well-known figure to Palestinians and Israelis alike, close to Hamas’ top military leaders and in charge of delivering the group’s messages, often via video, for around two decades, delivering statements while wearing a red keffiyeh that concealed his face.

The US targeted him with sanctions in April 2024, accusing him of leading the “cyber influence department” of al-Qassam Brigades.

In his last statement on Friday, he warned that the planned Israeli offensive on Gaza City would endanger the hostages.

On Saturday, Red Cross head Mirjana Spoljaric said an evacuation from the city would provoke a massive population displacement that no other area in the enclave is equipped to absorb, with shortages of food, shelter and medical supplies.

“People who have relatives in the south left to stay with them. Others, including myself, didn’t find a space as Deir Al-Balah and Mawasi are overcrowded,” said Ghada, a mother of five from the city’s Sabra neighborhood.

Around half of the enclave’s more than 2 million people are presently in Gaza City. Several thousand were estimated to have left the city for central and southern areas of the enclave.

Israel’s military has warned its political leaders that the offensive is endangering hostages still being held by Hamas in Gaza. Protests in Israel calling for an end to the war and the release of the hostages have intensified in the past few weeks.

Continue Reading

Copyright © 2017 - 2023 Jewish Post & News