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JNCI Journal of the National Cancer Institute 2000 92(12):958-959; doi:10.1093/jnci/92.12.958
© 2000 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 92, No. 12, 958-959, June 21, 2000
© 2000 Oxford University Press

EDITORIALS

Screening for Breast Cancer: How Useful Are Clinical Breast Examinations?

Cornelia J. Baines

Correspondence to: Cornelia J. Baines, M.D., Department of Public Health Sciences, University of Toronto, 12 Queen's Park Crescent W., Toronto, ON M5S 1A8, Canada (e-mail: cornelia.baines@utoronto.ca).

Is it really useful to perform clinical breast examinations (CBEs)? No one will dispute that a woman presenting to her physician with a self-detected breast lump is likely to receive such an examination before being referred for diagnostic mammography. But how useful is it for physicians to perform CBEs in a preventive or screening mode? If they actually believe the somewhat dubious assertion that "mammographic screening of women age 40 and over can reduce breast cancer deaths by at least 30 to 40 percent" (1), physicians surely must ask themselves why bother with fingers? In this issue of the Journal, Bobo et al. (2) report results of CBEs performed in the . . . [Full Text of this Article]

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