J. STEPHEN BOHAN, M.D.
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To the editor: Dr. Mushlin (1) claims that for the detection of breast cancer, the sensitivity of self-examination is 35%, that of physician examination is 38%, and that of mammography is 75%. In the Breast Cancer Detection Demonstration Project (2), 734 cases of cancer were detected by mammography, of which 322 were in patients with normal physical findings. Should we not conclude from this that women in certain age groups or with certain risk factors simply should have yearly mammography separately from any physical examination? I appreciate additional issues such as the doctor-patient relationship and the advice on the outcome
BOHAN JS. Tests for Detecting Breast Cancer. Ann Intern Med. ;104:445. doi: 10.7326/0003-4819-104-3-445_1
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Published: Ann Intern Med. 1986;104(3):445.
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