A new era in the diagnosis and treatment of breast cancer

László Tabár1, Peter B Dean

  • 1Department of Mammography, Falun Central Hospital, Falun, Sweden. laszlo@mammographyed.com

The Breast Journal
|November 6, 2010
PubMed

Insights

Regular mammography screening significantly reduces breast cancer mortality. Early detection through screening leads to smaller tumors and less node involvement, enabling curative local treatment.

Area of Science:

  • Oncology
  • Radiology
  • Public Health

Background:

  • Mammography screening trials have established its efficacy in reducing breast cancer mortality.
  • The effectiveness of screening challenges theories suggesting breast cancer is systemic from onset.

Purpose of the Study:

  • To highlight the impact of mammography screening on breast cancer detection and outcomes.
  • To underscore the shift towards treating localized breast cancer effectively.

Main Methods:

  • Analysis of data from randomized controlled mammography screening trials.
  • Evaluation of service screening programs for breast cancer.

Main Results:

  • Over 50% of invasive cancers detected are small (1-14 mm).
  • Fewer than 20% of screen-detected cancers have positive axillary nodes.
  • Approximately 20% of screen-detected cancers are poorly differentiated.

Conclusions:

  • Mammography screening enables early detection of breast cancer.
  • Early-stage detection facilitates curative local treatment, challenging the necessity of systemic therapy for all screen-detected cancers.
  • Screening has revolutionized breast cancer diagnosis and treatment paradigms.

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