Abstract
In medical practice, mammography may be used as a diagnostic or as a screening procedure. As a diagnostic procedure, it is part of the evaluation of a patient with specific signs and symptoms, such as breast mass, pain, discharge, and abnormalities of the skin and axillary nodes. Because mammography may provide important information regarding these clinical problems, its use for this purpose has never been questioned. In this context, the issue of risk vs benefit does not arise since the value of the answers that mammography furnishes to these diagnostic problems cannot be given a numerical value for insertion into a benefit/risk calculation.
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References
Ashikari R, Hadju SI, Robbins GF (1971) Intraductal carcinoma of the breast (1960–1969). Cancer 28: 1182–1187
Ashikari R, Huvos AG, Snyder RE, Lucas JC, Hutter RUP, McDivitt RW, Schottenfeld D (1971) A clinicopathologic study of atypical lesions of the breast. Cancer 33:310–317
Bailar JC (1976) Mammography: A contrary view. Ann Intern Med 84:77–84
Bailar JC (1977) Screening for early breast cancer: Pros and cons. Cancer 39:2783–2795
Bailar JC (1978) Mammographic screening: A reappraisal of benefits and risks. Clin Obstet Gynecol 21:1–14
Baral E, Larrson LE, Mattson B (1977) Breast cancer following irradiation of the breast. Cancer 40:2905–2910
Bates LM, Demidecki AJ (1979) Results of the Centers for Radiological Physics’ measurements at the Breast Cancer Detection Demonstration Projects. In: Muntz EP, Logan WW (eds) Reduced dose mammography. Masson, New York, pp 123–130
Beahrs OH (1983) Comparative merits of mammography and physical examination. In: Feig SA, McLelland R (eds) Breast carcinoma: Current diagnosis and treatment. Masson, New York
Beahrs OH, Smart CR (1983) The Breast Cancer Detection Demonstration Projects as viewed by the clinician. In: Feig SA, McLelland R (eds) Breast carcinoma: Current diagnosis and treatment. Masson, New York
Beahrs OH, Shapiro S, Smart CR (1979) Report of the working group to review the National Cancer Institute - American Cancer Society Breast Cancer Detection Demonstration Projects. JNCI 62:640–709
Berg JW, Robbins GF (1966) Factors influencing short and long term survivals following operations for breast cancer. Surg Gynecol Obstet 122:1311–1316
Betsill WL, Rosen PP, Lieberman PH, Robbins GF (1978) Intraductal carcinoma. Long-term follow-up after treatment by biopsy alone. JAMA 239:1863–1867
Black MM, Barclay TH, Cutler SJ, Hankey BG, Asire AJ (1972) Association of atypical characteristics of benign breast lesions with subsequent risk of breast cancer. Cancer 29:338–343
Bloom HJG (1950a) Prognosis in carcinoma of the breast. Br J Cancer 4:259–288
Bloom HJG (1950b) Further studies on prognosis of breast carcinoma. Br J Cancer 4:347–367
Bloom HJG (1964) The natural history of untreated breast cancer. Ann NY Acad Sci 114:747–754
Bloom HJG, Field JR (1971) Impact of tumor grade and host resistance on survival of women with breast cancer. Cancer 28:1580–1589
Bloom HJG, Richardson WW (1957) Histological grading and prognosis in breast cancer. Br J Cancer 11:359–377
Boice JD, Monson RB (1977) Breast cancer following repeated fluoroscopic examinations of the chest. JNCI 59:823–832
Bond WH (1975) Natural history of breast cancer. In: Stoll BA (ed) Host defence in breast cancer. Year Book Medical Publishers, Chicago, p. 95 (New aspects of breast cancer, vol 1)
Brinkley D, Haybittle JL (1975) The curability of breast cancer. Lancet 2: 95–97
National Cancer Institute (1976) Cancer patient survival, a report from the Cancer Surveillance, Epidemiology and End Results (SEER) Program. DHEW Publication No. (NIH) 77–992, U.S. Department of Health, Education, and Welfare, Public Health Service, National Institutes of Health, Bethesda, Maryland
Carter D, Smith RRL (1977) Carcinoma in situ of the breast. Cancer 40:1189–1193
Chiacchierini RP, Lundin FE (1979) Risk benefit analysis for reduced dose mammography. In: Logan WW, Muntz EP (eds) Reduced dose mammography. Masson, New York, pp 61–72
Committee on the Biological Effects of Ionizing Radiation (1980) The effects on populations of exposure to low levels of ionizing radiation. National Academy of Sciences, National Research Council, Washington, DC
Cramer DW (1978) The role of cervical cytology in the declining morbidity and mortality of cervical cancer. Cancer 34:2018–2027
Dean L, Geschickter CF (1938) Comedo carcinoma of the breast. Arch Surg 36:225–234
Dodd (1981) Radiation detection and diagnosis of breast cancer. Cancer 47:1766–1769
Duncan W, Kerr GR (1976) The curability of breast cancer. Br Med J 2:781–783
Dvoretsky PM, Woodard E, Bonfiglio TA, Hempelmann LH, Morse IP (1980) The pathology of breast cancer in women irradiated for acute postpartum mastitis. Cancer 46:2257–2262
Farrow JH (1970) Current concepts in the detection and treatment of the earliest of the early breast cancers (The James Ewing Lecture). Cancer 25:458–477
Feig SA (1980) Biological determinants of radiation-induced human breast cancer. CRC Crit Rev Diagn Imaging 13:229–248
Feig SA, Shaber GS, Patchefsky AS, Schwartz GF, Edeiken J, Libshitz HI, Nerlinger R, Curley RF, Wallace JD (1977) Analysis of clinically occult and mammographically occult breast tumors. Am J Roentgenol 128: 403
Feig SA, Shaber GS, Patchefsky AS, Schwartz GF, Edeiken J, Nerlinger R (1978) Tubular carcinoma of the breast. Radiology 129:311–314
Feig SA, Schwartz GF, Nerlinger R, Edeiken (1979) Prognostic factors of breast neoplasms detected on screening by mammography and physical examination. Radiology 133:577–582
Feinleib M, Zelen M (1969) Some pitfalls in the evaluation of screening programs. Arch Environ Health 19:412–415
Fox SH, Moskowitz M, Saenger EL, Kereiakes JG, Milbrath J, Goodman MW (1978) Benefit/risk analysis of aggressive mammographic screening. Radiology 128:359–365
Frazier TG, Copeland EM, Gallager HS, Paulus DD, White EC (1977) Prognosis and treatment in minimal breast cancer. Am J Surg 133:697–701
Gallager HS, Martin JE (1969a) The study of mammary carcinoma by mammography and whole organ sectioning. Cancer 23:855–873
Gallager HS, Martin JE (1969b) Early phases in the development of breast cancer. Cancer 24:1170–1178
Gershon-Cohen J, Berger SM, Klickstein HS (1963) Roentgenography of breast cancer moderating concept of “biologic predeterminism“. Cancer 16:961–964
Haagensen CD (1971) Diseases of the breast. Saunders, New York, pp 528–544, 586–590
Haagensen CD, Lane N, Lattes R, Bodian C (1978) Lobular neoplasia (so-called lobular carcinoma in situ) of the breast. Cancer 42:737–769
Howe GR, Miller AB, Sherman GJ (1982) Breast cancer mortality following fluoroscopic irradiation in a cohort of tuberculosis patients. Cancer Detect Prev 5:175–178
Humphrey LJ, Swerdlow M (1962) Relationship of benign breast disease to carcinoma of the breast. Surgery 52:841–846
Hutchinson GB, Shapiro S (1968) Lead time gained by diagnostic screening for breast cancer. J Natl Cancer Inst 41:665–681
Kern WH, Brooks RN (1969) Atypical epithelial hyperplasia associated with breast cancer and fibrocystic disease. Cancer 24:668–675
Kraus FT, Neubecker RD (1962) The differential diagnosis of papillary tumors of the breast. Cancer 15:444–455
Letton AH, Mason EM (1981) Five-year-plus survival of breast screenees. Cancer 48:404–406
Linell E, Ljungberg O, Andersson I (1980) Breast carcinoma, aspects of early stages, progression, and related problems. Acta Pathol Microbiol Scand [A] [Suppl] 272:1–233
Lundgren B (1969) Observations on growth rate of breast carcinomas and its possible implications for lead time. Cancer 40:1722–1725
Mausner JS, Shimkin MB, Moss NH, Rosemond GP (1969) Cancer of the breast in Philadelphia hospitals 1951–1964. Cancer 23:260–274
McDivitt RW (1978) Breast carcinoma. Hum Pathol 9:3–21
Milbrath JR, Moskowitz M, Bauermeister D (1981) Breast cancer screening. CRC Crit Rev Diagn Imaging 16:181–218
Miller AB (1982) The national breast screening study: An opportunity for physicians. Can Fam Physician 28:369–373
Miller AB, Howe GR (1981) A study of cancer following multiple fluoroscopies. Implications for the use of mammography in screening for breast cancer. Presentation at the Annual Meeting of the Royal College of Physicians and Surgeons of Canada, Toronto
Millis RR, Thynne GSJ (1975) In-situ intraduct carcinoma of the breast: a long term follow-up study. Br J Surg 62:957–962
Morganstern L, Kaufman PA, Friedman NB (1975) The case against tylectomy for carcinoma of the breast. The factor of multicentricity. Am J Surg 130:251–258
Moskowitz M (1979) Screening is not diagnosis. Radiology 133:265–268
Moskowitz M (1980) Restructured data comparing screening approaches. Radiology 134:262
Moskowitz M, Gartside PS (1982) Evidence of breast cancer mortality reduction: Aggressive screening in women under age 50. Am J Roentgenol 138:911–916
Moskowitz M, Pemmaraju S, Russell P, Gardella L, Gartside P, deGroot I (1977) Observations on the natural history of carcinoma of the breast, its precursors, and mammographic counterparts: I. Natural history. Breast 3:14–19
Muntz EP, Wilkinson E, George FW (1980) Mammography at reduced doses: Present performance and future possibilities. Am J Roentgenol 134:741–748
Myrden JA, Hiltz JE (1969) Breast cancer following multiple fluoroscopies during artificial pneumothorax treatment of pulmonary tuberculosis. Can Med Assoc J 100:1032–1034
Myrden JA, Quinlan JJ (1974) Breast carcinoma following multiple fluoroscopies with pneumothorax treatment of pulmonary tuberculosis. Ann R Coll Physicians Can 7:45
Pearlman AW (1976) Breast cancer — influence of growth rate on prognosis and treatment evaluation. Cancer 38:826–833
Pennisi VR, Capossi A, Perez FM (1977) Subcutaneous mastectomy data. A preliminary report. Plastic Reconstr Surg 59:53–56
Peters GN, Wolff M, Haagensen CD (1980) Tubular carcinoma of the breast, clinical pathologic correlations based on 100 cases. Ann Surg 193: 138–149
Philippe E, LeGal Y (1968) Growth of 78 recurrent mammary cancers. Cancer 21:461–467
Qualhein RE, Gall EA (1957) Breast carcinoma with multiple sites of origin. Cancer 10:460–468
Rosen PP, Lieberman PH, Braun DW Jr, Kosloff C, Adair F (1978) Lobular carcinoma in-situ of the breast. Detailed analysis of 99 patients with average follow-up of 24 years. Am J Surg Pathol 2:225–251
Sandison AT (1962) An autopsy study of the adult human breast. Natl Cancer Inst Monogr
Schwartz GF, Patchefsky AS, Feig SA, Shaber GS, Schwartz AB (1980) Multicentricity of nonpalpable breast cancer. Cancer 45:2913–2916
Schwarz M (1978) An analysis of the benefits of serial screening for breast cancer based upon a mathematical model of the disease. Cancer 41:1550–1564
Seidman H (1977) Screening for breast cancer in younger women, life expectancy gains and losses: An analysis according to risk indicator groups. CA 27:66–87
Seidman H (1983) Breast cancer incidence, mortality, survival and prognosis. In: Feig SA, McLelland R (eds) Breast carcinoma: Current diagnosis and treatment. Masson, New York
Shapiro S (1977) Evidence of screening for breast cancer from a randomized trial. Cancer 39:2772–2782
Silverberg SG, Chitale AR (1973) Assessment of significance of proportions of intraductal and infiltrating tumor growth in ductal carcinoma of the breast. Cancer 32:830–837
Stoll BA (1976) Effect of age on growth pattern. In: Stoll BA (ed) Risk factors in breast cancer. New aspects of breast cancer, vol 2. Year Book Medical Publishers, Chicago, pp 129–148
Strax P, Venet L, Shapiro S (1973) Value of mammography in reduction of mortality from breast cancer in mass screening. Am J Roentgenol 117:686–689
Tabar L, Gad A, Akerlund E et al. (to be published) Screening for breast cancer in Sweden. I. Results of the first round of screening. In: Feig SA, McLelland R (eds) Breast carcinoma: Current diagnosis and treatment. Masson, New York
United Nations Scientific Committee on the Effects of Atomic Radiation (1972) Ionizing radiation: Levels and effects, vol 2. United Nations, New York
Upton AC, Beebe GW, Brown JM, Quimby GH, Shellabarger C (1977) Report of the NCI ad hoc working group on the risks associated with mammography in mass screening for the detection of breast cancer. JNCI 59:481–493
Venet L, Shapiro S, Strax P et al. (1975) Effect of screening on survivals. In: Gallager HS (ed) Early breast cancer, detection and treatment. Wiley, New York, pp 97–103
Von Fournier D, Kubli F, Bauer M, Schneider-Affeld F, Klapp J, Curland S (1980) Growth rate of 53 primary breast carcinomas with an observation time of 0.2–11 years. In: Nieburgs HE (ed) Prevention and detection of cancer, part II - Detection, vol 2 — Cancer detection in specific sites. Dekker, New York, pp 1711–1721
Wanebo HJ, Huvos AG, Urban JA (1974) Treatment of minimal breast cancer. Cancer 33:349–357
Westbrook KC, Gallager HS (1975) Intraductal carcinoma of the breast. A comparative study. Am J Surg 130:667–670
Young JL Jr, Percy CL, Asire AJ (eds) (1981) Surveillance, epidemiology, and end results: Incidence and mortality data, 1973–1977. National Cancer Institute Monograph 57. National Cancer Institute, NIH Publication No. 81–2330
Zelen M (1972) Problems in the early detection of disease and the finding of faults. Bull Intern Stat Inst 44:649–661
Zelen M (1976) Theory of early detection of breast cancer in the general population. In: Hueson JC, Mattheiem WH, Rozencweig M (eds) Breast cancer. Trends in research and treatment. Raven, New York, pp 287–300
Zelen M, Feinleib M (1969) On the theory of screening for chronic disease. Biometrika 56:601–614
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Feig, S.A. (1984). Benefits and Risks of Mammography. In: Brünner, S., Langfeldt, B., Andersen, P.E. (eds) Early Detection of Breast Cancer. Recent Results in Cancer Research, vol 90. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-82031-1_2
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DOI: https://doi.org/10.1007/978-3-642-82031-1_2
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