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Breast self-awareness: the evidence behind the euphemism
Katrina Mark1, Sarah M Temkin, Mishka Terplan
1Department of Obstetrics, University of Maryland School of Medicine, Baltimore, Maryland.
Breast self-examination does not reduce breast cancer mortality. Promoting breast self-awareness, a repackaged concept, may cause harm by teaching ineffective detection methods.
Area of Science:
- Oncology
- Public Health
Background:
- Breast cancer is a leading malignancy in women.
- Breast self-examination (BSE) was intended to improve early detection and survival.
- Current evidence indicates BSE has no impact on breast cancer mortality.
Purpose of the Study:
- To evaluate the effectiveness of breast self-examination (BSE) in reducing breast cancer mortality.
- To analyze the shift from BSE to breast self-awareness (BSA).
Main Methods:
- Review of existing literature and studies on breast self-examination effectiveness.
- Analysis of the conceptual evolution from BSE to BSA.
Main Results:
- Breast self-examination has not been proven to decrease breast cancer mortality rates.
- The concept of breast self-awareness has emerged as a successor to BSE.
- Teaching ineffective self-detection techniques may be detrimental.
Conclusions:
- Breast self-examination is ineffective in reducing breast cancer mortality.
- Promoting breast self-awareness, while well-intentioned, carries potential harms due to the ineffectiveness of taught methods.
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