Abstract
This retrospective study assesses the presentation of breast cancer patients who died of disease. The goal was to estimate the proportion of patients whose cancer was detected by a screening mammogram, yet still proved fatal, and to characterize contemporary fatal breast cancers. Patients who died of breast cancer between 1995 and 2001 and were treated at three hospitals with complete, accessible information were identified using the Rhode Island Department of Health database and State Cancer Registry. Patients were classified as routinely screened, true interval, off-program, or unscreened. The median maximum diameter of fatal cancers was 2.5 cm. Sixty-nine percent of patients had lymph node metastases and 19% had stage IV disease. Fifty-seven percent were unscreened and 12% were routinely screened, with 2.5 cm and 1.5 cm median tumor diameters, respectively. Fifty-two percent of unscreened patients and no routinely screened patients had stage III or IV disease. Fifteen percent of fatal cancers were interval cancers. Only 27% of patients who died of breast cancer were participants in routine screening programs in Rhode Island, where 84% of women receive regular mammograms. This study complements randomized, population-based tr...Continue Reading
References
Nov 1, 1994·Annals of Surgical Oncology·A M Leitch, R F Garvey
Oct 1, 1994·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·S Hellman
Apr 17, 1993·Lancet·L NyströmJ Frisell
Mar 1, 1996·Archives of Surgery·B CadyP T Lavin
Jan 1, 1997·Journal of the National Cancer Institute. Monographs·R E HendrickC R Smart
Aug 10, 1999·Cancer·T ByersH Eyre
Feb 16, 2000·Lancet·P C Gøtzsche, O Olsen
May 4, 2001·Cancer·L TabárR A Smith
Jan 10, 2003·Cancer Detection and Prevention·Jascha de NooijerHein de Vries
Citations
Aug 31, 2012·Breast Cancer Research and Treatment·Natalie G CoburnMaureen A Chung
Feb 3, 2005·American Journal of Clinical Oncology·Blake Cady, Maureen Chung
Jan 27, 2011·Annals of Surgical Oncology·Blake CadyMaureen A Chung
Aug 25, 2011·Annals of Surgical Oncology·Nicole ShenPaul Dale
Aug 21, 2013·AJR. American Journal of Roentgenology·Adedayo A OnitiloSuhail A Doi
Jan 20, 2011·Cancer·Blake Cady, Maureen A Chung
Mar 31, 2011·International Journal of Cancer. Journal International Du Cancer·Xiaoye ZhuFritz H Schröder
Sep 11, 2013·Cancer·Matthew L WebbBarbara L Smith
Oct 9, 2009·Cancer·Anna Grenabo BergdahlJonas Hugosson
May 20, 2015·Clinical Breast Cancer·Israel BarcoAntonio García Fernández
Feb 24, 2006·American Journal of Surgery·Stephen F SenerHongyan Du
May 27, 2015·Cancers·Andrew McGuireMichael J Kerin
Jun 23, 2021·Journal of the American College of Radiology : JACR·Debra L MonticcioloDana Smetherman
Jul 6, 2021·Clinical Imaging·Daniel B Kopans