, Volume 35, Issue 3, pp 698-699
Date: 21 Sep 2010

Two-Stage Breast Cancer Screening in the Developing World

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Approximately two-thirds of women with a new diagnosis of breast cancer in the United States and northwestern Europe have an early-stage breast cancer, and most have a good prognosis with long-term disease-free survival. National mammographic screening programs have resulted in this improved early detection, saving the lives of millions of women in the industrialized world. However, the lack of such technology and screening programs in nonindustrialized countries may be the cause of high breast cancer mortality in these countries.
Denewer and colleagues’ [1] article in the World Journal of Surgery evaluated whether the surgeon’s clinical breast examination could improve the rate of detecting early-stage breast cancer in Egypt. The authors reported that the mean tumor size in Egyptian women at the time of diagnosis was 4.5 cm, and the median age was approximately 46 years. From a total of 57,500 women aged 25–65 years in the targeted population, the voluntary participation rate for the s...