2001
DOI: 10.1016/s0720-048x(00)00237-0
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Screening women at high risk of breast cancer on the basis of evidence

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Cited by 17 publications
(11 citation statements)
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“…• to start mammography screening at an earlier age, that has been proved to be effective in single trials [28]; • to undergo palpation and ultrasounds if they were found to have a dense parenchymal pattern which is associated with high grade cancers, that is both a risk factor and a reason for impaired screening sensitivity [29]; • to follow a more intensive surveillance protocol if they are at high risk for hereditary cancer, although carcinogenic risks associated with radiation in these women and the benefit of early detection are not fully known [30]; • to undergo mammography examination every year if they are under hormone replacement therapy (HRT), as a reduction in the sensitivity of screening mammography of between 7 and 21% in current HRT users has been observed [31] and the preclinical phase of cancers arising in these women, under estrogenic stimulation, may be shorter.…”
Section: Breast Cancermentioning
confidence: 99%
“…• to start mammography screening at an earlier age, that has been proved to be effective in single trials [28]; • to undergo palpation and ultrasounds if they were found to have a dense parenchymal pattern which is associated with high grade cancers, that is both a risk factor and a reason for impaired screening sensitivity [29]; • to follow a more intensive surveillance protocol if they are at high risk for hereditary cancer, although carcinogenic risks associated with radiation in these women and the benefit of early detection are not fully known [30]; • to undergo mammography examination every year if they are under hormone replacement therapy (HRT), as a reduction in the sensitivity of screening mammography of between 7 and 21% in current HRT users has been observed [31] and the preclinical phase of cancers arising in these women, under estrogenic stimulation, may be shorter.…”
Section: Breast Cancermentioning
confidence: 99%
“…Solid lumps require further examination in order to determine the presence of cancer. According to Warren (2001), breast ultrasound is low cost and radiation free and can be useful if combined with family history, but it is not recommended as a stand alone technique for breast cancer detection. This is due to its low sensitivity for ductal microcalcifications in the breast.…”
Section: Ultrasoundmentioning
confidence: 99%
“…This is compounded by the use of hormone replacement therapy (HRT) which increases density [20]. It is also important when young women at elevated risk are screened, since the various causes of elevated risk are associated with dense patterns [21].…”
Section: Mammographic Density and Breast Cancer Riskmentioning
confidence: 99%