Norman Swann

speaker

14,464 appearances 150 recordings 1 series first heard Jul 2005 last heard Feb 2013

Norman Swann’s voice in public audio — every appearance, attributed to the second.

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Health Report · Monday 01 March 2010 · 28 Feb 2010 podcast

Because in the end, to diagnose it, you can't diagnose it using the test you've got. voice-verified

You've actually got to have an open operation, which is quite major. voice-verified

And some of these cancers that you're finding, like any screening, may be cancers that nothing would ever have happened with them. voice-verified

To find 100 cancers, voice-verified

more than 10 to 1. voice-verified

So in the end, if you look forward, you're likely to show a reduction in death rates, but it's a question at what cost. voice-verified

So it's like the prostate cancer story. voice-verified

So prostate cancer mortality has come down, and it's probably a result of all these PSA tests, but it requires 48 men to have prostatectomies for one man's life to be saved. voice-verified

So the question in the end will be, for your study, almost inevitably, you will save lives, voice-verified

but it will be at cost. voice-verified

And just finally, we should just differentiate between diagnosis and screening because screening that we've been talking about is healthy women with no symptoms. voice-verified

Can you pick up an early cancer? voice-verified

Similarly to healthy women who don't have any problems with their breasts and they have mammography. voice-verified

If you are at high risk because you've got a mother or sisters with ovarian or breast cancer in your family at an early age, we must emphasize these tests are not for you. voice-verified

If you want peace of mind, surgery is the only answer. voice-verified

Professor Usha Menon is head of the Gynecological Cancer Research Centre at University College London. voice-verified

I'm Norman Swan, and this has been The Health Report. voice-verified

And if you want to make a comment on one of our stories, you can go to our website and click on one of the stories and make a comment. voice-verified

And we'll be most interested to hear or read, I should say, what you've got to say. voice-verified

So why not do that? voice-verified

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