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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.”
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The post Jewish women should get mammograms at 40, experts say. Here’s why. appeared first on Jewish Telegraphic Agency.
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Iran, US Resume Oman-Mediated Nuclear Talks in Rome
US President Donald Trump’s Middle East envoy-designate Steve Witkoff gives a speech at the inaugural parade inside Capital One Arena on the inauguration day of Trump’s second presidential term, in Washington, DC, Jan. 20, 2025. Photo: REUTERS/Carlos Barria
i24 News – A new round of nuclear talks between Iran and the United States kicked off in Rome on Saturday, under the shadow of President Donald Trump’s threat to unleash military action if diplomacy fails.
Iran’s Foreign Minister Abbas Araqchi and Trump’s Middle East envoy Steve Witkoff will negotiate indirectly through an Omani official who will shuttle messages between the two sides, Iranian officials said, a week after a first round of indirect talks in Muscat that both sides described as “constructive.”
Araqchi and Witkoff interacted briefly at the end of the first round, but officials from the two countries have not held direct negotiations since 2015 under former US President Barack Obama.
Araqchi called on “all parties involved in the talks to seize the opportunity to reach a reasonable and logical nuclear deal.”
Trump told reporters on Friday: “I’m for stopping Iran, very simply, from having a nuclear weapon. They can’t have a nuclear weapon. I want Iran to be great and prosperous and terrific.”
Meanwhile, Israel has not ruled out an attack on Iran’s nuclear facilities in the coming months, according to an Israeli official and two other people familiar with the matter.
Trump, who ditched a 2015 nuclear pact between Iran and six powers during his first term in 2018 and reimposed crippling sanctions on Tehran, has revived his “maximum pressure” campaign on the country since returning to the White House in January.
Since 2019, Iran has breached and far surpassed the 2015 deal’s limits on its uranium enrichment, producing stocks far above what is necessary for a civilian energy program.
The post Iran, US Resume Oman-Mediated Nuclear Talks in Rome first appeared on Algemeiner.com.
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Reps. Dan Goldman and Chris Smith Issue Statement Condemning Shapiro Arson Attack As ‘Textbook Antisemitism’
Pennsylvania Gov. Josh Shapiro (D) holds a rally in support of US Vice President Kamala Harris’ Democratic presidential election campaign in Ambler, Pennsylvania, US, July 29, 2024. Photo: REUTERS/Rachel Wisniewski
Rep. Dan Goldman (D-NY) and Rep. Chris Smith (D-NJ) issued a statement condemning the recent arson attack against Gov. Josh Shapiro (D-PA) as a form of “textbook antisemitism.”
“Governor Shapiro is the Governor of Pennsylvania and has nothing to do with Israel’s foreign policy, yet he was targeted as an American Jew by a radicalized extremist who blames the Governor for Israel’s actions. That is textbook antisemitism,” the statement read.
Shapiro’s residence, the Pennsylvania governor’s mansion, was set ablaze on Sunday morning, hours after the governor hosted a gathering to celebrate the first night of the Jewish holiday of Passover. Shapiro said that he, his wife, and his children were awakened by state troopers knocking on their door at 2 am. The governor and his family immediately evacuated the premises and were unscathed.
Goldman and Smith added that the arson attack against Shapiro serves as “a bitter reminder that persecution of Jews continues.” The duo claimed that they “strongly condemn this antisemitic violence” and called on the suspect to “be held accountable to the fullest extent of the law.”
Pennsylvania State Police said that the suspect, Cody Balmer set fire to Shapiro’s residence over the alleged ongoing “injustices to the people of Palestine” and Shapiro’s Jewish faith.
According to an arrest warrant, Balmer called 911 prior to the attack and told emergency operators that he “will not take part in [Shapiro’s] plans for what he wants to do to the Palestinian people,” and demanded that the governor “stop having my friends killed.”
The suspect continued, telling operators, “Our people have been put through too much by that monster.”
Balmer later revealed to police that he planned to beat Shapiro with a sledgehammer if he encountered him after gaining access into his residence, according to authorities.
He was subsequently charged with eight crimes by authorities, including serious felonies such as attempted homicide, terrorism, and arson. The suspect faces potentially 100 years in jail. He has been denied bail.
Shapiro, a practicing Jew, has positioned himself as a staunch supporter of Israel. In the days following Hamas’s brutal slaughter of roughly 1,200 people across southern Israel on Oct. 7, 2023, Shapiro issued statements condemning the Palestinian terrorist group and gave a speech at a local synagogue. The governor also ordered the US and Pennsylvania Commonwealth flags to fly at half-mast outside the state capitol to honor the victims.
Shapiro’s strident support of the Jewish state in the wake of Oct. 7 also incensed many pro-Palestinian activists, resulting in the governor being dubbed “Genocide Josh” by far-left demonstrators.
US Senate Democratic Leader Chuck Schumer (NY) chimed in on the arson attack Thursday, urging the Justice Department to launch a federal investigation, claiming that the incident could be motivated by antisemitism.
Schumer argued that the arson attack targeting Shapiro, who is Jewish, left the Pennsylvania governor’s family in “anguish” and warned that it could serve as an example of “rising antisemitic violence” within the United States. He stressed that a federal investigation and hate crime charges may be necessary to uphold the “fundamental values of religious freedom and public safety.”
Thus far, Shapiro has refused to blame the attack on antisemitism, despite the suspect’s alleged comments repudiating the governor over his support for Israel. The governor has stressed the importance of allowing prosecutors to determine whether the attack constitutes a hate crime.
The post Reps. Dan Goldman and Chris Smith Issue Statement Condemning Shapiro Arson Attack As ‘Textbook Antisemitism’ first appeared on Algemeiner.com.
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US, Iran Set for Second Round of Nuclear Talks as Iranian FM Warns Against ‘Unrealistic Demands’
Iran’s Foreign Minister Abbas Araqchi attends a press conference following a meeting with Russia’s Foreign Minister Sergei Lavrov in Moscow, Russia, April 18, 2025. Tatyana Makeyeva/Pool via REUTERS
Iranian Foreign Minister Abbas Araghchi said a deal could be reached during Saturday’s second round of nuclear negotiations in Rome if the United States does not make “unrealistic demands.”
In a joint press conference with his Russian counterpart, Sergei Lavrov, Araghchi said that Washington showed “partial seriousness” during the first round of nuclear talks in Oman last week.
The Iranian top diplomat traveled to Moscow on Thursday to deliver a letter from Iran’s so-called Supreme Leader, Ayatollah Ali Khamenei, briefing Russian President Vladimir Putin on the ongoing nuclear talks with the White House.
“Their willingness to enter serious negotiations that address the nuclear issue only, without entering into other issues, can lead us towards constructive negotiations,” Araghchi said during the joint press conference in Moscow on Friday.
“As I have said before, if unreasonable, unrealistic and impractical demands are not made, an agreement is possible,” he continued.
Tehran has previously rejected halting its uranium enrichment program, insisting that the country’s right to enrich uranium is non-negotiable, despite Washington’s threats of military actions, additional sanctions, and tariffs if an agreement is not reached to curb the country’s nuclear activities.
On Tuesday, US special envoy Steve Witkoff said that any deal with Iran must require the complete dismantling of its “nuclear enrichment and weaponization program” — reversing his earlier comments, in which he indicated that the White House would allow Tehran to enrich uranium to a 3.67 percent threshold for a “civil nuclear program.”
During the press conference, Araghchi also announced he would attend Saturday’s talks in Rome, explaining that negotiations with the US are being held indirectly due to recent threats and US President Donald Trump’s “maximum pressure” campaign against Tehran — which aims to cut the country’s crude exports to zero and prevent it from obtaining a nuclear weapon.
“Indirect negotiations are not something weird and an agreement is within reach through this method,” Araghchi said.
He also indicated that Iran expects Russia to play a role in any potential agreement with Washington, noting that the two countries have held frequent and close consultations on Tehran’s nuclear program in the past.
“We hope Russia will play a role in a possible deal,” Araghchi said during the press conference.
As an increasingly close ally of Iran, Moscow could play a crucial role in Tehran’s nuclear negotiations with the West, leveraging its position as a veto-wielding member of the UN Security Council and a signatory to a now-defunct 2015 nuclear deal that imposed limits on the Iranian nuclear program in exchange for sanctions relief.
Known formally as the Joint Comprehensive Plan of Action (JCPOA), Trump withdrew the US from the deal in 2018.
Since then, even though Tehran has denied wanting to develop a nuclear weapon, the UN’s nuclear watchdog – the International Atomic Energy Agency (IAEA) – has warned that Iran has “dramatically” accelerated uranium enrichment to up to 60 percent purity, close to the roughly 90 percent weapons-grade level and enough to build six nuclear bombs.
During the press conference on Friday, Russian Foreign Minister Lavrov said that “Russia is ready to facilitate the negotiation process between Iran and the US regarding Tehran’s nuclear program.”
Moscow has previously said that any military strike against Iran would be “illegal and unacceptable.”
Russia’s diplomatic role in the ongoing negotiations could also be important, as the country has recently solidified its growing partnership with the Iranian regime.
On Wednesday, Russia’s upper house of parliament ratified a 20-year strategic partnership agreement with Iran, strengthening military ties between the two countries.
Despite Tehran’s claims that its nuclear program is solely for civilian purposes rather than weapon development, Western states have said there is no “credible civilian justification” for the country’s recent nuclear activity, arguing it “gives Iran the capability to rapidly produce sufficient fissile material for multiple nuclear weapons.”
The post US, Iran Set for Second Round of Nuclear Talks as Iranian FM Warns Against ‘Unrealistic Demands’ first appeared on Algemeiner.com.
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