Better Teaching of Breast Self-Exam Did Not Reduce Mortality

Laurie Barclay, MD Oct. 2, 2002 —

More intensive teaching of breast self-examination (BSE) increased the rate of benign breast biopsies but did not reduce mortality related to breast cancer, according to a report in the Oct. 2 issue of the Journal of the National Cancer Institute. The investigators and editorialist believe the time would be better spent teaching women about breast cancer symptoms and performing a more thorough clinical breast examination.

“In developing countries, where mammographic screening is not available, it would not seem to be a good use of the limited funds available for preventive services to promote practice of BSE,” write David B. Thomas, MD, DrPH, from the Fred Hutchinson Cancer Research Center in Seattle, Washington, and colleagues. Because of inconsistent evidence from nonrandomized observational studies, the U.S. Preventive Services Task Force currently does not recommend for or against the teaching of BSE.

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