A Lesson from the Mammography Issue
Authors: PAUL P. CARBONE
Journal: Annals of Internal Medicine (1978)

Editorials1 May 1978A Lesson from the Mammography IssuePAUL P. CARBONE, M.D.PAUL P. CARBONE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-88-5-703 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn the United States, breast cancer is a major neoplastic disease that accounted for almost 90 000 new cases in 1977 and 38 000 deaths. One of every 14 women will develop breast cancer in her lifetime (1). The American Cancer Society (ACS) has for years advocated self-examination because 90% of all breast cancers are first detected by the patient herself. Its hope was that early detection and evaluation of a breast lump would lead to a more favorable prognosis. In the 1960s mammography was introduced after finding that X rays of mastectomy specimens contained characteristic calcifications or mass effects...References1. HOLLEB A: Magnitude of the breast cancer problem in the United States, in Progress in Clinical and Biological Research. Breast Cancer, vol. 12, edited by MONTAGUE AC, STOVESIFER GL, LEWISON EF. New York, A.R. Liss, 1977 Google Scholar2. EGAN R: Mammography, an aid to diagnosis of breast cancer. JAMA 182:839-843, 1962 CrossrefGoogle Scholar3. STRAXVENETSHAPIRO PLS: Value of mammography in reduction of mortality from breast cancer in mass screening. Am J Roentgenol Radium Ther Nucl Med 117:686-689, 1973 CrossrefMedlineGoogle Scholar4. BAILAR J: Mammography: a contrary view. Ann Intern Med 84:77-84, 1976 LinkGoogle Scholar5. MCGREGORLANDCHOITOKUOKALIUWAKABAYASHIBEEBE DCKSPTG: Breast cancer incidence among atomic bomb survivors, Hiroshima and Nagasaki, 1950-69. J Natl Cancer Inst 59:799-812, 1977 CrossrefMedlineGoogle Scholar6. BOICEMONSON JR: Breast cancer in women after repeated fluoroscopic examinations of the chest. J Natl Cancer Inst 59:823-832, 1977 CrossrefMedlineGoogle Scholar7. BRESLOWHENDERSONMASSEYPIKEWINKELSTEIN LBFMW: Report on NCI Ad Hoc Working Group on the Gross and Net Benefits of Mammography in Mass Screening for the Detection of Breast Cancer. Washington, D.C., DHEW Publ. No. (NIH) 77-1400, 1977 Google Scholar8. HOLLANDHOSLEYSCHARLAUCARBONEFREIBRINDLEYHALLSHNIDERGOLDLASAGNAOWENSMILLER JHCPECTBGLAS: A controlled trial of urethane treatment in multiple myeloma. Blood 27:328-342, 1966 CrossrefMedlineGoogle Scholar9. FISHERSLACKCAVANAUGHGARDNERRAVDIN BVPBR: Postoperative radiotherapy in the treatment of breast cancer. Results of the NSABP clinical trial. Ann Surg 172:711-732, 1977 CrossrefGoogle Scholar10. HERBSTULFELDERPOSKANZER AHD: Adenocarcinoma of the vagina. Association of maternal stilbestrol therapy with tumor appearance in young women. N Engl J Med 284:878-881, 1971 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: PAUL P. CARBONE, M.D.Affiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFighting the War on Breast CancerMaryann NapoliWhat Do Women Want to Know?Why is preventive medicine exempted from ethical constraints?Natural OccurrenceCommunity models for cancer prevention and detectionTumor biology in explanation of the failure of screening for cancer and in determination of future strategiesFALSE PREMISES AND FALSE PROMISES OF BREAST CANCER SCREENINGPatientization of the Population 1 May 1978Volume 88, Issue 5Page: 703-704KeywordsAcute coronary syndromeBreast cancerMammographyPatient advocacy ePublished: 1 December 2008 Issue Published: 1 May 1978 PDF downloadLoading ...