The impact of mammographic screening on the surgical management of breast cancer

Journal of Surgical Oncology
Ted A JamesBrian L Sprague

Abstract

Mammographic screening has been shown to result in downward stage migration, reflected by smaller tumor sizes and less extensive nodal involvement. National guidelines restrict screening recommendations in women age 40-49. The purpose of this study is to evaluate the specific impact of mammographic screening patterns on the surgical management of breast cancer in women aged 40-49. The study is a population-based retrospective review of the Vermont Breast Cancer Surveillance System of women aged 40-49 with a diagnosis of breast cancer. Tumor stage and related characteristics at the time of diagnosis, as well as the type of surgical intervention performed were recorded for women presenting with screen-detected versus non-screen-detected breast cancer. Screen-detected breast cancers in women aged 40-49 were associated with a greater incidence of DCIS, smaller invasive tumor size, fewer cases of positive nodes, and higher rates of breast conservation compared to non-screened women presenting with symptomatic disease. Mammographic screening is associated with less aggressive surgical treatment of breast cancer including higher rates of breast conservation. The observed changes in surgical management should factor into individual dec...Continue Reading

References

Apr 12, 1976·JAMA : the Journal of the American Medical Association·P Strax
Jun 1, 1991·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·G M KiebertC J van de Velde
Oct 6, 1997·AJR. American Journal of Roentgenology·R Ballard-BarbashL G Kessler
Sep 3, 2002·Annals of Internal Medicine·UNKNOWN U.S. Preventive Services Task Force
Feb 22, 2003·Journal of the American College of Surgeons·Soji F OluwoleHarold P Freeman
Dec 17, 2004·Journal of the National Cancer Institute·Emily WhiteStephen H Taplin
Apr 19, 2006·Annals of Internal Medicine·Rebecca Smith-BindmanKarla Kerlikowske
Apr 4, 2007·Annals of Internal Medicine·Katrina ArmstrongEileen E Reynolds
Jul 7, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P Del BiancoUNKNOWN GIVOM
Apr 17, 2008·Annals of Surgical Oncology·Rebecca Crane-OkadaArmando E Giuliano
May 28, 2008·Journal of Cancer Research and Clinical Oncology·Volker ArndtHermann Brenner
Nov 19, 2009·Annals of Internal Medicine·UNKNOWN US Preventive Services Task Force
Nov 19, 2009·Annals of Internal Medicine·Jeanne S MandelblattUNKNOWN Breast Cancer Working Group of the Cancer Intervention and Surveillance Modeling Network
Sep 16, 2011·The New England Journal of Medicine·Ellen Warner
May 2, 2012·Annals of Internal Medicine·Heidi D NelsonDiana L Miglioretti
Jul 19, 2012·Breast Cancer Research : BCR·Karsten Jørgensen
Apr 5, 2013·JAMA Internal Medicine·Karla KerlikowskeUNKNOWN Breast Cancer Surveillance Consortium
Oct 9, 2013·JAMA : the Journal of the American Medical Association·Judy C BougheyUNKNOWN Alliance for Clinical Trials in Oncology
Jun 25, 2014·Journal of the National Cancer Institute·Kenyon C BoltonBrian L Sprague
Oct 27, 2015·JAMA : the Journal of the American Medical Association·Kevin C OeffingerUNKNOWN American Cancer Society
Oct 27, 2015·JAMA : the Journal of the American Medical Association·Evan R MyersGillian D Sanders

❮ Previous
Next ❯

Citations

Sep 10, 2020·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·So Yeon WonByeong Woo Park
Jan 28, 2021·Archives of Pathology & Laboratory Medicine·Yuanxin LiangShabnam Jaffer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.