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British Journal of Cancer logoLink to British Journal of Cancer
. 1989 Sep;60(3):401–405. doi: 10.1038/bjc.1989.294

Results from a seven-year programme of breast self-examination in 89,010 women.

A P Locker 1, J Caseldine 1, A K Mitchell 1, R W Blamey 1, E J Roebuck 1, C W Elston 1
PMCID: PMC2247173  PMID: 2789950

Abstract

This report presents the results of a study into the effect of breast self-examination (BSE) in a large defined population within the City of Nottingham since 1979. We have examined the effect of breast self-examination in a group of patients invited to attend for education in BSE compared with a group of historical controls. No overall survival advantage has been demonstrated for the study group but within the latter group patients who had attended for instruction in BSE had a significantly better actuarial survival at 13 years than those who did not (P less than 0.001). Patients in the study group presented with significantly smaller tumours which were more likely to be of better histological grade and lymph node stage. A case-control study has demonstrated the value of attendance for BSE particularly in post-menopausal women. Although BSE is not as sensitive as mammographic screening, patients who practise it present with more favourable tumour characteristics and its value in post-menopausal women supports its use as an adjunct to mammographic screening.

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Selected References

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

  1. Caseldine J., Dowle C. S., Hinton C. P., Manhire A. R., Todd J. H., Elston C. W., Blamey R. W. Breast self-examination for the early detection of breast cancer. Aust N Z J Surg. 1988 Apr;58(4):289–293. doi: 10.1111/j.1445-2197.1988.tb01058.x. [DOI] [PubMed] [Google Scholar]
  2. Collette H. J., Day N. E., Rombach J. J., de Waard F. Evaluation of screening for breast cancer in a non-randomised study (the DOM project) by means of a case-control study. Lancet. 1984 Jun 2;1(8388):1224–1226. doi: 10.1016/s0140-6736(84)91704-5. [DOI] [PubMed] [Google Scholar]
  3. Dowle C. S., Mitchell A., Elston C. W., Roebuck E. J., Hinton C. P., Holliday H., Blamey R. W. Preliminary results of the Nottingham breast self-examination education programme. Br J Surg. 1987 Mar;74(3):217–219. doi: 10.1002/bjs.1800740323. [DOI] [PubMed] [Google Scholar]
  4. 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]
  5. 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]
  6. Haybittle J. L., Blamey R. W., Elston C. W., Johnson J., Doyle P. J., Campbell F. C., Nicholson R. I., Griffiths K. A prognostic index in primary breast cancer. Br J Cancer. 1982 Mar;45(3):361–366. doi: 10.1038/bjc.1982.62. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Hill D., White V., Jolley D., Mapperson K. Self examination of the breast: is it beneficial? Meta-analysis of studies investigating breast self examination and extent of disease in patients with breast cancer. BMJ. 1988 Jul 23;297(6643):271–275. doi: 10.1136/bmj.297.6643.271. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. 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]
  9. Morrison A. S. Case definition in case-control studies of the efficacy of screening. Am J Epidemiol. 1982 Jan;115(1):6–8. doi: 10.1093/oxfordjournals.aje.a113280. [DOI] [PubMed] [Google Scholar]
  10. Saltzstein S. L. Potential limits of physical examination and breast self-examination in detecting small cancers of the breast. An unselected population-based study of 1302 cases. Cancer. 1984 Oct 1;54(7):1443–1446. doi: 10.1002/1097-0142(19841001)54:7<1443::aid-cncr2820540736>3.0.co;2-n. [DOI] [PubMed] [Google Scholar]
  11. Smith E. M., Burns T. L. The effects of breast self-examination in a population-based cancer registry. A report of differences in extent of disease. Cancer. 1985 Jan 15;55(2):432–437. doi: 10.1002/1097-0142(19850115)55:2<432::aid-cncr2820550223>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  12. Weiss N. S. Control definition in case-control studies of the efficacy of screening and diagnostic testing. Am J Epidemiol. 1983 Oct;118(4):457–460. doi: 10.1093/oxfordjournals.aje.a113650. [DOI] [PubMed] [Google Scholar]

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