Background
It is not yet known whether the benefits of regular screening for women with a family history of breast cancer (FHBC) outweigh the harms. One of the harms associated with having a mammogram is recall for further tests such as additional imaging and biopsies [1]. This has been shown to cause significant anxiety in the short term, and possibly the long term, in women in routine screening [2]. Given the greater cancer worry in women with a FHBC [3], it is possible they may be particularly adversely affected by a recall. This multicentre, prospective study investigated both the positive and negative psychological effects of regular mammographic screening in women <50 years with a family history of breast cancer [4].