Should you schedule a mammogram screening during covid?

For almost 20 years, Karen Syring never missed her annual mammogram. A longtime public-school teacher, Syring usually got her scan when a mobile mammography bus visited the school where she

worked. But Syring, 66, of Woodlands, Texas, retired last year. Without the bus to remind her, she inadvertently skipped her annual screening. When she realized her lapse many months later,

last summer, the COVID-19 pandemic was well underway. But after talking with her doctor, Syring scheduled her mammogram, anyway. She's sure glad she did, since the test revealed

evidence of early-stage breast cancer. “I keep thinking, _What would have happened if I had waited longer?_ It probably would have been much worse,” Syring says. “I'm so grateful I went

and did it.” Stories like Syring's underscore an important message that physicians and cancer advocates are emphasizing as the pandemic continues: Don't let the coronavirus stop

you from getting mammograms, colonoscopies and other screenings essential to good health. "Cancer doesn't stop, even during a global pandemic,” notes Therese Bevers, M.D., medical

director at MD Anderson's Cancer Prevention Center. “I think it's important for women to understand that you are probably more likely to die from a breast cancer diagnosed at a

more advanced stage than you are from COVID-19.” DELAYED DIAGNOSES WILL RESULT IN MORE DEATHS Millions of Americans have missed recommended screenings during COVID-19 closures. In March, the

first month of the shutdown, a study of 190 hospitals found that screenings for breast, colon and cervical cancers decreased by as much as 94 percent. Another study, published in the

journal _Oncology_ in August, revealed a 46 percent decline in the number of new cancers diagnosed between March and April. The National Cancer Institute estimates that delayed diagnoses due

to the pandemic could result in 10,000 additional deaths from breast and colorectal cancers in the next 10 years. Even though medical offices are now open, some patients are still reluctant

to come in for screenings, says Carol Lee, M.D., staff radiologist at Memorial Sloan Kettering Cancer Center in New York City. "Some people are saying, ‘I'm already six months

late, so I might as well skip this year,’ “ she says. “That's a bad idea because the earlier you pick up cancer, the more likely it is that it can be treated successfully. And it's

such a treatable disease if you catch it early.” SAFETY PRECAUTIONS IN PLACE AT MEDICAL CENTERS Lee and Bevers emphasize that health care facilities are taking steps to keep patients safe,

such as sterilizing equipment between clients, requiring patients and staff to fill out a health questionnaire daily, and enforcing the use of masks.