Breast Cancer Research and Treatment

, Volume 28, Issue 2, pp 97–106 | Cite as

Recent trends in breast cancer incidence, mortality, and mammography

  • Polly A. Newcomb
  • Paula M. Lantz
Article

Summary

The recent trends in mammography, and in breast cancer incidence and mortality, demonstrate the impact of an effective cancer control effort. The number of women over age 40 years who have ever had mammography has increased over 200% since 1980. Concomitantly, breast cancer incidence has increased about 32%, with nearly all of the increase in early stage disease. Analytic studies of these changes have demonstrated persuasively that the vast majority of this increase is temporary and is attributable to the lead-time afforded by mammography. As a result of this early detection and treatment of breast cancer, mortality has begun to decline in 1991–92. Although the search for practical preventive measures should continue, the benefits of early detection can be realized now. Further research is needed to define age groups most appropriately screened and the optimum intervals for screening.

Key words

breast cancer early detection incidence mammography mortality screening 

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References

  1. 1.
    White E, Lee CY, Kristal AR: Evaluation of the increase in breast cancer incidence in relation to mammography use. J Natl Cancer Inst 82:1546–1552, 1990Google Scholar
  2. 2.
    McWorter WP, Eyre HJ: Impact of mammographic screening on breast cancer diagnosis. J Natl Cancer Inst 82:152–153, 1990Google Scholar
  3. 3.
    Glass AG, Hoover RN: Rising incidence of breast cancer: relationship to stage and receptor status. J Natl Cancer Inst 82:693–969, 1990Google Scholar
  4. 4.
    Liff JM, Sung JF, Show WH, Greenberg RS, Flanders WD: Does increased detection account for the rising incidence of breast cancer? Am J Public Health 81:462–465, 1991Google Scholar
  5. 5.
    Lantz PM, Remington PL, Newcomb PA: Mammography screening and increased incidence of breast cancer in Wisconsin. J Natl Cancer Inst 83:1540–1546, 1991Google Scholar
  6. 6.
    Miller BA, Feuer EJ, Hankey BF: The increasing incidence of breast cancer since 1982: relevance of early detection. Cancer Causes and Control 2:67–74, 1991Google Scholar
  7. 7.
    Feuer EJ, Wun LM: How much of the recent rise in breast cancer incidence can be explained by increases in mammography utilization? A dynamic population model approach. Am J Epidemiol 136:1423–1436, 1992Google Scholar
  8. 8.
    U.S. Department of Health & Human Services. Cancer Statistics Review 1973–1982. National Cancer Institute [NIH Pub No 92-2678], Bethesda MD, 1992Google Scholar
  9. 9.
    Kessler LG, Feuer EJ, Brown ML: Projections of the breast cancer burden to U.S. women: 1990–2000. Prev Med 20:170–182, 1991Google Scholar
  10. 10.
    Monthly Vital Statistics Report Vol. 42, no. 2(8), August 31, 1993.Google Scholar
  11. 11.
    Blot WJ, Devesa SS, Fraumeni JF: Declining breast cancer mortality among young American women. J Natl Cancer Inst 78:451–454, 1987Google Scholar
  12. 12.
    Hutchinson GB, Shapiro S: Lead time gained by diagnostic screening for breast cancer. J Natl Cancer Inst 41:605–681, 1966Google Scholar
  13. 13.
    Centers for Disease Control: Trends in screening mammography for women 50 years and older. Behavioral Risk Factor Surveillance System, MMWK 38:137–140, 1989Google Scholar
  14. 14.
    Lantz PM, Weier A, Remington PL: Trends in mammography utilization in Wisconsin: 1987–1992. Wisc Med J 92:580–582, 1993Google Scholar
  15. 15.
    Lantz PM, Bunge M, Remington PL: Trends in mammography in Wisconsin. Wisc Med J 89:281–282, 1990Google Scholar
  16. 16.
    U.S. Department of Health & Human Services, 1987. Annual Cancer Statistics Review: Including Cancer Trends 1980–85. National Cancer Institute [NIH Pub No 88-2789], Bethesda MD, 1988Google Scholar
  17. 17.
    Shapiro S, Venet W, Strax P: Ten to fourteen year effect of screening on breast cancer mortality. J Natl Cancer Inst 69:349–355, 1982Google Scholar
  18. 18.
    Tabar L, Fagerberg CJ, Gad A,et al: Reduction in mortality from breast cancer after screening with mammography. Lancet i:829–832, 1985Google Scholar
  19. 19.
    Kessler LG, Feuer EJ, Brown ML: Projections of the breast cancer burden to U.S. women: 1990–2000. Prev Med 20:170–182, 1991Google Scholar
  20. 20.
    Harris JR, Lippman, Veronesi U, Willett W: Breast cancer. N Engl J Med 327:319–328, 1992Google Scholar
  21. 21.
    Wyshak G, Frisch RE: Evidence for a secular trend in age at menarche. N Engl J Med 306:1033–1035, 1982Google Scholar
  22. 22.
    Cone TE: Secular acceleration of height and biologic maturation in children during the past century. J Pediatr 59:736–740, 1961Google Scholar
  23. 23.
    Hahn RA, Moolgavkar SH: Nulliparity, decade of first birth and breast cancer in Connecticut cohorts 1885–1945: an ecological study. Am J Public Health 79:1503–1507, 1989Google Scholar
  24. 24.
    White E: Projected changes in breast cancer incidence due to the trend toward delayed childbearing. Am J Public Health 77:495–597, 1987Google Scholar
  25. 25.
    Centers for Disease Control Radical prostatectomies — Wisconsin, 1982–1992. MMWK 42(32):620–627, 1993Google Scholar
  26. 26.
    Marshall E: Experts clash over cancer data. Science 250:900–902, 1990Google Scholar
  27. 27.
    Peeters PHM, Verbeek ALM, Straatman H et al: Evaluation of overdiagnosis of breast cancer in screening with mammography: Results of the Nijmegen programme. Int J Epidemiol 18:295–299, 1989Google Scholar
  28. 28.
    Nielsen M, Jensen J, Andersen JA: Precancerous and cancerous breast lesions during lifetime and at autopsy: a study of 83 women. Cancer 54:612–615, 1984Google Scholar
  29. 29.
    Page DL, Dupont WD, Rogers LW, Landenberger M: Intraductal carcinoma of the breast: follow-up after biopsy only. Cancer 49:751–758, 1982Google Scholar
  30. 30.
    Shapiro S: Evidence on screening for breast cancer from a randomized trial. Cancer 39:2772–2782, 1977Google Scholar

Copyright information

© Kluwer Academic Publishers 1993

Authors and Affiliations

  • Polly A. Newcomb
    • 1
  • Paula M. Lantz
    • 2
  1. 1.University of Wisconsin Comprehensive Cancer CenterMadisonUSA
  2. 2.Marshfield Medical Research FoundationMarshfieldUSA

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