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Wait-And-See Approach Raises Breast-Cancer Risks
NEW YORK (Reuters Health)
Some breast-cancer screening guidelines
suggest that women who get certain abnormal results return early
for their next screening, rather than immediately undergo additional
testing. That practice, according a study by a Canadian research
team, can lead to dangerous delays in diagnosing cancer.
The researchers found that women diagnosed with breast cancer
(news - web sites) more than 20 weeks after receiving their first
suspicious screening results were more likely to have large cancers,
or cancers that had spread, if the delay since their initial
screening had been longer.
The finding indicates that putting off diagnosis, in addition
to increasing patients' anxiety by prolonging their uncertainty,
can result in cancer being more advanced by the time it's identified,
according to the report in the in the April 15 issue of the journal
Cancer.
"We confirmed that if [physicians and patients] wait on it, the
cancer does grow enough that it may alter the prognosis," study
coauthor Lisa Kan of the British Columbia Cancer Agency-Vancouver
Island Centre, in Victoria, told Reuters Health.
Kan and colleagues from seven Canadian medical institutions pooled
data from breast-cancer screening programs to identify several
thousand women who had been diagnosed with breast cancer between
1990 and 1998 after getting suspicious screening results.
The researchers classified women according to how much time had
elapsed between their suspicious screening and their cancer diagnosis.
They also noted which women had received abnormal, highly suspicious
screening results and which had been diagnosed after getting
results that were abnormal but less suspicious.
[04/16/2002; Reuters Health]
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