© 2001 by Oxford University Press
Journal of the National Cancer Institute, Vol. 93, No. 20, 1572,
October 17, 2001
© 2001 Oxford University Press
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Breast Cancer Screening for Women Aged 4049 Years: Screening May Not Be the Benign Process Usually Thought
Affiliations of authors: M. Retsky, Department of Surgery, Children's Hospital and Harvard Medical School, Boston, MA; R. Demicheli, Milan National Cancer Institute, Italy; W. Hrushesky, Dorn Veterans Affairs Medical Center, Columbia, SC.
Correspondence to: Michael Retsky, Ph.D., Children's Hospital and Harvard Medical School, Enders Bldg., 10th Floor, 300 Longwood Ave., Boston, MA 02115 (e-mail: retsky@jimmy.harvard.edu).
As reported by eight randomized trials of breast cancer screening conducted over the past 40 years, women aged 5059 years who are screened for breast cancer have a 20%30% survival advantage compared with unscreened control subjects. However, when women aged 4049 years are screened, there is either no advantage or a small disadvantage to the screened population for the first 68 years of the trials. After that, an advantage to
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