BACKGROUND AND OBJECTIVES: Mammographic screening has been shown to result in downward stage migration, reflected by smaller @entity5 sizes and less extensive nodal involvement. National guidelines restrict screening recommendations in @entity1 age 40-49. The purpose of this study is to evaluate the specific impact of mammographic screening patterns on the surgical management of @entity0 in @entity1 aged 40-49. METHODS: The study is a population-based retrospective review of the Vermont @entity0 Surveillance System of @entity1 aged 40-49 with a diagnosis of @entity0 . @entity5 stage and related characteristics at the time of diagnosis, as well as the type of surgical intervention performed were recorded for @entity1 presenting with screen-detected versus non-screen-detected @entity0 . RESULTS: Screen-detected @entity0 in @entity1 aged 40-49 were associated with a greater incidence of @entity3821 , smaller invasive @entity5 size, fewer cases of positive nodes, and higher rates of breast conservation compared to non-screened @entity1 presenting with symptomatic disease. CONCLUSIONS: Mammographic screening is associated with less aggressive surgical treatment of @entity0 including higher rates of breast conservation. The observed changes in surgical management should factor into individual decision-making regarding screening mammography. J. Surg. Oncol. 2016;113:496-500.    2016 Wiley Periodicals, Inc.

The impact of mammographic screening on the surgical management of XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'Tumor'] @entity1 :: ('9606', 'Species') :: ['women'] @entity3821 :: ('MESH:D002285', 'Disease') :: ['DCIS'] @entity0 :: ('MESH:D001943', 'Disease') :: ['Breast Cancer', 'breast cancers', 'breast cancer']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
