Net harms of breast screening

Randomised controlled trial needed to determine necessity of surgery for “atypical” breast lesions

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e890 (Published 21 February 2012)
Cite this as: BMJ 2012;344:e890

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  1. Nik Makretsov, pathologist1
  1. 1St Paul’s Hospital, Vancouver, Canada
  1. NMakretsov{at}providencehealth.bc.ca

“Unnecessary surgery” as a possible harm from breast cancer screening needs to be elucidated.1 Many indeterminate or “atypical” breast lesions are found on breast core biopsy after abnormal results in screening mammography.

Most current recommendations assume that surgery …

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