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- W4287511610 abstract "I read with interest, the paper in press by Tun SM et al: Mode of Detection of Second Events in Routine Surveillance of Early-Stage Breast Cancer Patients.1Tun SM Alluri S Rastegar V Visintainer P Mertens W Makaru-Judson G. Mode of detection of second events in routine surveillance of early-stage breast cancer patients.Clinical Breast Cancer. 2022; (Pre-print Proof Published:June 28DOI)https://doi.org/10.1016/j.clbc.2022.06.003Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar I applaud their efforts to determine the mode of detection (MOD) of cancer recurrences in 351 patients with early-stage breast cancer over a 5-year period, who had at least 5 years of follow-up, as MOD data is not currently collected in most registries. Happily only 10 had recurrences. Of the 8 in-breast tumor recurrences and contralateral primary cancers, 7 were detected by annual mammography. (The MOD of the 8th was not stated in the available abstract.) Both of the 2 chest wall recurrences in postmastectomy patients were detected by clinical breast examination (CBE). Yet the authors downplay the relevance of CBE by citing that, “Provider CBE was MOD in only 2/351, 0.6% 95% CI (2.1-0.1%) of patients as chest wall recurrences post-mastectomy.” I argue that the better data point is that 2/10 recurrences were detected by CBE, that is, 20%; Not the 0.6% that led the authors to conclude that CBE had low impact. The authors have stated that they have no conflicts of interest." @default.
- W4287511610 created "2022-07-25" @default.
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- W4287511610 date "2022-10-01" @default.
- W4287511610 modified "2023-09-27" @default.
- W4287511610 title "Clinical Breast Examination is Important in Surveillance After Mastectomy" @default.
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- W4287511610 doi "https://doi.org/10.1016/j.clbc.2022.07.010" @default.
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