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Published Online: 9 August 2011

Self-Detection Remains a Key Method of Breast Cancer Detection for U.S. Women

Publication: Journal of Women's Health
Volume 20, Issue Number 8

Abstract

Purpose: The method by which breast cancer is detected becomes a factor for long-term survival and should be considered in treatment plans. This report describes patient characteristics and time trends for various methods of breast cancer detection in the United States.
Methods: The 2003 National Health Interview Survey (NHIS), a nationally representative self-report health survey, included 361 women survivors diagnosed with breast cancer between 1980 and 2003. Responses to the question, How was your breast cancer found? were categorized as accident, self-examination, physician during routine breast examination, mammogram, and other. We examined responses by income, race, age, and year of diagnosis.
Results: Most women survivors (57%) reported a detection method other than mammographic examination. Women often detected breast cancers themselves, either by self-examination (25%) or by accident (18%).
Conclusions: Despite increased use of screening mammography, a large percentage of breast cancers are detected by the patients themselves. Patient-noted breast abnormalities should be carefully evaluated.

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Published In

cover image Journal of Women's Health
Journal of Women's Health
Volume 20Issue Number 8August 2011
Pages: 1135 - 1139
PubMed: 21675875

History

Published online: 9 August 2011
Published in print: August 2011
Published ahead of print: 15 June 2011

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Mara Y. Roth
Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
Joann G. Elmore
Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
Joyce P. Yi-Frazier
Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
Lisa M. Reisch
Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
Natalia V. Oster
Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
Diana L. Miglioretti
Group Health Center for Health Studies and Department of Biostatistics, University of Washington, Seattle, Washington.

Notes

Address correspondence to:Mara Y. Roth, M.D.Acting InstructorUniversity of Washington School of MedicineDepartment of MedicineDivision of Metabolism, Endocrinology and Nutrition1959 NE Pacific StreetBox 357138Seattle, WA 98195-7138E-mail: [email protected]

Disclosure Statement

The authors have no conflicts of interest to report.

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