This epidemiological study finds that, of the 143 women studied with breast cancer that occurs between regularly scheduled mammograms, approximately half of the cancers were in women who seeking health care for a breast complaint, especially when a lump was accompanied by a personal and family history of breast cancer. Seventeen percent of the cancers were found by the patients' primary care doctor conducting a routine breast exam and the remaining were picked up by a follow-up mammogram. The authors assert that women at highest risk for breast cancer may need closer surveillance than the general population of women and need to be encouraged to seek care from their primary care doctor if they develop breast symptoms, rather than taking reassurance from a negative screening mammogram.
Discovery of Breast Cancers That Occur Within 1 Year of a Normal Screening Mammogram: How Are They Found"
By Patricia A. Carney, Ph.D., et al
Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. Annals is sponsored by six family medical organizations, including the American Academy of Family Physicians, the American Board of Family Medicine, the Society of Teachers of Family Medicine, the Association of Departments of Family Medicine, the Association of Family Medicine Residency Directors and the North American Primary Care Research Group. Annals is published six times each year and contains original research from the clinical, biomedical, social and health services areas, as well as contributions on methodology and theory, selected reviews, essays and editorials. Complete editorial content and interactive discussion groups for each published article can be accessed free of charge on the journal's Web site, annfammed/.
Contact: Kristin Robinson
American Academy of Family Physicians
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