A significant number of women present with palpable breast cancer even with a normal mammogram within 1 year

Danielle J. Haakinson, Chee Chee H. Stucky, Amylou C. Dueck, Richard J. Gray, Nabil Wasif, Heidi A. Apsey, Barbara Pockaj

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Background: Although mammography is the gold standard for breast cancer screening, clinical breast examination (CBE) and self breast examination (SBE) are important adjuncts whose utility has been questioned. Methods A retrospective review of invasive breast cancer patients from 2000 to 2008 was performed. We compared 3 groups: breast cancer detected by (1) imaging only (nonpalpable) or palpable mass with a normal mammogram (2) <1 year (mammogram <1 year) or (3) <1 year (mammogram <1 year). Results Of 1,222 women, presentation included 67% nonpalpable, 21% mammogram <1 year, and 13% mammogram <1 year. Patients presenting with palpable masses on SBE or CBE even with a normal mammogram within 1 year tended to have more aggressive tumors (larger size, lymph node positive, and triple-negative disease) resulting in more aggressive therapy (a higher mastectomy rate and a greater likelihood of chemotherapy). Conclusion A significant number of women present with palpable breast cancer within 1 year of a normal mammogram, many with an aggressive cancer. Therefore, we continue to advocate SBE and CBE for breast cancer screening.

Original languageEnglish (US)
Pages (from-to)712-718
Number of pages7
JournalAmerican journal of surgery
Volume200
Issue number6
DOIs
StatePublished - Dec 1 2010

Keywords

  • Breast cancer
  • Breast cancer screening
  • Clinical breast examination
  • Interval breast cancers
  • Palpable breast cancer
  • Self breast examination

ASJC Scopus subject areas

  • Surgery

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