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. © 2010 Elsevier Inc. All rights reserved.
CITATION STYLE
Haakinson, D. J., Stucky, C. C. H., Dueck, A. C., Gray, R. J., Wasif, N., Apsey, H. A., & Pockaj, B. (2010). A significant number of women present with palpable breast cancer even with a normal mammogram within 1 year. American Journal of Surgery, 200(6), 712–718. https://doi.org/10.1016/j.amjsurg.2010.08.005
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