Breast Cancer Research

official impact factor 5.79

Commentary

Mammographic screening and mammographic patterns

Nick Day1 and Ruth Warren2

Author Affiliations

1 University of Cambridge

2 Rosie Maternity Hospital, Cambridge, UK

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Breast Cancer Res 2000, 2:247-251 doi:10.1186/bcr64

Published: 7 June 2000

Abstract

Mammography is an effective screening modality for the early detection of breast cancer. The reduction in breast cancer mortality is greater for women aged over 50 at screening than for women aged under 50. Mammography can also contribute to an understanding of the biology of breast cancer. Screening trials provide good evidence for the dedifferentiation of a cancer as it develops over time, and the age dependency of this dedifferentiation explains much of the age difference in the effectiveness of screening. Mammographic density is an important predictor of future breast cancer risk, and has potential as an early endpoint in breast cancer prevention trials. Mammographic density is also an important determinant of mammographic screening sensitivity.

Keywords:
dedifferentiation; mammography; mammographic density; screening sensitivity