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New Screening Catches More Breast Cancers


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But while relatively inexpensive and easy to use, MBI is not yet widely available.

"This is an area that is very important, and where we really need to do further work," said Dr. Eric Winer, moderator of the teleconference and director of the breast oncology center at Dana-Farber Cancer Institute in Boston.

A second study, conducted by researchers at Johns Hopkins University, debunks the long-held notion that women in rural areas are more likely to chose mastectomy over lumpectomy because of difficulty traveling to radiation facilities.

Text Continues Below



Radiation is considered standard-of-care for women after they have received a breast-conserving lumpectomy, although not for women who undergo a mastectomy.

There were no notable differences between radiation rates following lumpectomy for women in rural areas as compared with women in urban areas, although the study did confirm that more women in rural areas (59.9 percent) opted for mastectomy, versus 44.9 percent of women in urban areas.

"The disparity . . . is not necessarily due to the availability of radiation therapy but to other factors," said study author Dr. Lisa K. Jacobs, an assistant professor of surgery at Johns Hopkins University in Baltimore.

"This would seem to suggest that if a woman in a rural area chooses to have a lumpectomy, she will most likely not fall through the cracks in terms of getting radiation, which is somewhat reassuring," Winer said. "But it would be interesting to look at this further."

In a third study, researchers at M.D. Anderson Cancer Center in Houston found that older black women undergoing lumpectomy for early-stage invasive breast cancer were less likely to receive recommended post-surgery radiation therapy than their white counterparts.

Only 65 percent of black women received radiation, compared with 74 percent of white women. "The difference is concerning, given that radiation after lumpectomy is generally considered standard therapy," said study author Dr. Grace Smith, a postdoctoral fellow in the department of radiation oncology at Anderson.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 9/4/2008

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SOURCES: Sept. 3, 2008, teleconference with Eric Winer, M.D., spokesman, American Society of Clinical Oncology, professor of medicine, Harvard Medical School and director, breast oncology center, Dana-Farber Cancer Institute, Boston; Carrie B. Hruska, M.D., research fellow, department of radiology, Mayo Clinic, Rochester, Minn.; Lisa K. Jacobs, M.D., assistant professor, surgery, Johns Hopkins University, Baltimore; Grace L. Smith, M.D., Ph.D., postdoctoral fellow, department of radiation oncology, University of Texas M.D. Anderson Cancer Center, Houston; Sept. 3, 2008, presentations, American Society of Clinical Oncology's 2008 Breast Cancer Symposium, Washington, D.C.


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