Discovery of breast cancers within 1 year of a normal screening mammogram: How are they found?

Discovery of breast cancers within 1 year of a normal screening mammogram: How are they found?
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DOI:
10.1370/afm.580
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发表时间:
2006-11-01
影响因子:
4.4
通讯作者:
MacKenzie, Todd
MacKenzie, Todd
中科院分区:
医学1区
文献类型:
--
作者:
Carney, Patricia A.;Steiner, Elizabeth;MacKenzie, Todd

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PURPOSE We sought to determine how breast cancers that occur within 1 year after a normal mammogram are discovered.METHODS Using population-based mammography registry data from 20002002, we identified 143 women with interval breast cancers and 481 women with screen-detected breast cancers. We surveyed women's primary care clinicians to assess how the interval breast cancers were found and factors associated with their discovery.RESULTS Women with interval cancers were twice as likely to have a personal history of breast cancer (30.1%) as women with screen-detected cancers (13.6%). Among women with interval cancers, one half of the invasive tumors (49.5%) were discovered when women initiated a health care visit because of a breast concern, and 16.8% were discovered when a clinician found an area of concern while conducting a routine clinical breast examination. Having a lump and both a personal and a family history of breast cancer was the most common reason why women initiated a health care visit (44%) (P