Breast Self-Examination: the Case for a Second Look
Autor: | Eric C. Dietze, Veronica Jones, Victoria L. Seewaldt |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Breast imaging Obstetrics business.industry animal diseases Estrogen receptor Preventive service medicine.disease Article law.invention 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer Oncology Randomized controlled trial law Surgical oncology 030220 oncology & carcinogenesis medicine 030212 general & internal medicine business Breast self-examination |
Zdroj: | Curr Breast Cancer Rep |
ISSN: | 1943-4596 1943-4588 |
Popis: | PURPOSE OF REVIEW: Breast Self-Examination (BSE) remains controversial despite the 2009 United States Preventive Service Task Force (USPSTF) recommendation against teaching of BSE. The USPSTF recommendations were based on results from the Shanghai Study, high-quality randomized trial of BSE in 266,064 Chinese factory workers from 1989-1991; women instructed in BSE did not have a significant difference in mortality versus uninstructed controls. Regardless of the outcome of the Shanghai Study, the practice of BSE in the United States (U.S.) over the past 25 years has been associated with a marked reduction in the size of breast cancer identified by women. RECENT FINDINGS: In the Shanghai study, BSE was tested in China from 1989-1991. During this time period, Chinese breast cancer screening and treatment was not consistent with standard-of-care in U.S. and Europe. Breast cancer was a rare illness in China in the 1980’s. Treatment was not standardized; there was no breast imaging or margin assessment of the tumor. Tumor markers (e.g. estrogen receptor, progesterone receptor) were not reported. The Shanghai Study did not report in detail on the anti-cancer agents provided to women who enrolled in the trial. SUMMARY: BSE needs to be rigorously re-evaluated under current standard of care. |
Databáze: | OpenAIRE |
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