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. 1987 Feb;55(2):207–211. doi: 10.1038/bjc.1987.39

Breast self examination and breast cancer stage at diagnosis.

D Mant, M P Vessey, A Neil, K McPherson, L Jones
PMCID: PMC2002097  PMID: 3814490

Abstract

The relationship between breast self examination (BSE) and breast cancer stage at diagnosis was examined in 616 women aged 15-59 years. Differences in tumour characteristics between those not practising BSE and those practising but not taught were small and inconstant. However, women who had both practised and had been taught BSE had more favourable tumours than the non-practising group. The difference was most marked in terms of tumour size and the involvement of axillary nodes. The proportions of women in the non-BSE and taught-BSE groups with each characteristic were respectively: size less than or equal to 2 cm 33% and 45%, T1 clinical stage 27% and 42%, and N0 pathological stage 37% and 50%. This advantage to taught-BSE women persisted after adjustment for the identified confounding factors of age, social class and oral contraceptive use. The likely impact on breast cancer mortality is difficult to assess, although the potential benefit of the lead time gained must not be ignored when assessing the costs and benefits of BSE.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Feldman J. G., Carter A. C., Nicastri A. D., Hosat S. T. Breast self-examination, relationship to stage of breast cancer at diagnosis. Cancer. 1981 Jun 1;47(11):2740–2745. doi: 10.1002/1097-0142(19810601)47:11<2740::aid-cncr2820471133>3.0.co;2-4. [DOI] [PubMed] [Google Scholar]
  2. Foster R. S., Jr, Costanza M. C. Breast self-examination practices and breast cancer survival. Cancer. 1984 Feb 15;53(4):999–1005. doi: 10.1002/1097-0142(19840215)53:4<999::aid-cncr2820530429>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  3. Foster R. S., Jr, Lang S. P., Costanza M. C., Worden J. K., Haines C. R., Yates J. W. Breast self-examination practices and breast-cancer stage. N Engl J Med. 1978 Aug 10;299(6):265–270. doi: 10.1056/NEJM197808102990601. [DOI] [PubMed] [Google Scholar]
  4. Frank J. W., Mai V. Breast self-examination in young women: more harm than good? Lancet. 1985 Sep 21;2(8456):654–657. doi: 10.1016/s0140-6736(85)90014-5. [DOI] [PubMed] [Google Scholar]
  5. Greenberg E. R., Vessey M. P., McPherson K., Doll R., Yeates D. Body size and survival in premenopausal breast cancer. Br J Cancer. 1985 May;51(5):691–697. doi: 10.1038/bjc.1985.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Greenwald P., Nasca P. C., Lawrence C. E., Horton J., McGarrah R. P., Gabriele T., Carlton K. Estimated effect of breast self-examination and routine physician examinations on breast-cancer mortality. N Engl J Med. 1978 Aug 10;299(6):271–273. doi: 10.1056/NEJM197808102990602. [DOI] [PubMed] [Google Scholar]
  7. Huguley C. M., Jr, Brown R. L. The value of breast self-examination. Cancer. 1981 Mar 1;47(5):989–995. doi: 10.1002/1097-0142(19810301)47:5<989::aid-cncr2820470530>3.0.co;2-v. [DOI] [PubMed] [Google Scholar]
  8. McPherson K., Neil A., Vessey M. P., Doll R. Oral contraceptives and breast cancer. Lancet. 1983 Dec 17;2(8364):1414–1415. doi: 10.1016/s0140-6736(83)90936-4. [DOI] [PubMed] [Google Scholar]
  9. Philip J., Harris W. G., Flaherty C., Joslin C. A., Rustage J. H., Wijesinghe D. P. Breast self-examination: clinical results from a population-based prospective study. Br J Cancer. 1984 Jul;50(1):7–12. doi: 10.1038/bjc.1984.133. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Senie R. T., Rosen P. P., Lesser M. L., Kinne D. W. Breast self-examination and medical examination related to breast cancer stage. Am J Public Health. 1981 Jun;71(6):583–590. doi: 10.2105/ajph.71.6.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Smith E. M., Francis A. M., Polissar L. The effect of breast self-exam practices and physician examinations on extent of disease at diagnosis. Prev Med. 1980 May;9(3):409–417. doi: 10.1016/0091-7435(80)90235-2. [DOI] [PubMed] [Google Scholar]
  12. Tabár L., Fagerberg C. J., Gad A., Baldetorp L., Holmberg L. H., Gröntoft O., Ljungquist U., Lundström B., Månson J. C., Eklund G. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet. 1985 Apr 13;1(8433):829–832. doi: 10.1016/s0140-6736(85)92204-4. [DOI] [PubMed] [Google Scholar]
  13. Turner J., Blaney R., Roy D., Odling-Smee W., Irwin G., Mackenzie G. Does a booklet on breast self-examination improve subsequent detection rates? Lancet. 1984 Aug 11;2(8398):337–339. doi: 10.1016/s0140-6736(84)92699-0. [DOI] [PubMed] [Google Scholar]
  14. Vessey M., Baron J., Doll R., McPherson K., Yeates D. Oral contraceptives and breast cancer: final report of an epidemiological study. Br J Cancer. 1983 Apr;47(4):455–462. doi: 10.1038/bjc.1983.74. [DOI] [PMC free article] [PubMed] [Google Scholar]

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