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Updated: Sep 20, 2026
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Surgical outcomes of a breast cancer-screening program for low-income women
Ricardo Jimenez-Lee1, Selene G Oslak, Katrina Hedberg
1Department of Surgery, Oregon Health & Science University, Portland, OR 97201, USA.
Hypothesis:
Surgical outcomes from a breast cancer-screening program of low-income women are similar to those of other screening programs.
Design:
Prospective cohort.
Setting:
Federally funded screening program.
Patients:
A total of 15730 women.
Interventions:
A total of 23149 mammograms, 20396 with concomitant clinical breast examination, from January 1, 1997, through December 31, 2001.
Outcome Measures:
American College of Radiology scores; associated surgery consultations, biopsies, operations, and pathology results.
Results:
Most (20868) of the 21296 mammograms assigned an American College of Radiology score were benign; only 428 (2%) were suspicious. Resulting from suspicious clinical breast examinations, the group with American College of Radiology scores of 1 to 3 accounted for 45%, 18%, and 10% of recommended surgical consultations, biopsies, and cancers detected, respectively. A rate of 12.3 cancers per 1000 women was found, greater than with other screening programs. Compliance with therapy was 97%.
Conclusions:
This screening program had a higher rate of advanced cancers. Clinical breast examination was an important component, and compliance with surgical recommendations was excellent.