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Breast Mass & Malignancy

“Breast lump is the most common presenting symptom among women with breast cancer and has relatively high predictive value for malignancy…. Evidence from a national audit of cancer diagnosis…. A total of 56 presenting symptoms were described: breast lump was the most frequent (83%)…”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“A significant number of women present with palpable breast cancer even with a normal mammogram within 1 year.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“The odds of screen-detected cancer was 10 times higher for screening examinations where a lump was reported.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“…96% of cancers and 81% of ultrasound findings resulted from patient-identified lumps. Of provider-identified lumps, 100% of cancers and 92.3% of positive ultrasound findings were diagnosed…”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Palpable presentation of breast cancer persists in the era of screening mammography.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“…palpable breast lumps have a higher probability of breast cancer than all patients who undergo diagnostic breast imaging.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Annual mammography in women aged 40-59 does not reduce mortality from breast cancer beyond that of physical examination…”. Upon finding that most cancers were palpable at mammography screening visits, Miller et; al. concluded: "From this we infer that if there is benefit from a mammography only screening programme, it is derived through cancers detectable by a thorough breast physical examination.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Most women survivors (57%) reported a detection method other than mammographic examination.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Having a lump and both a personal and a family history of breast cancer was the most common reason why women initiated a health care visit.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Women commonly present to imaging departments with a palpable breast abnormality. However, widespread confusion remains regarding the most appropriate sequence and extent of imaging required.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“MRI is no more accurate than clinical exam alone in predicting SLN [sentinel lymph node] pathology in patients…”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Most young women detect their own breast cancers…” “Patients presenting with palpable masses on SBE or CBE even with a normal mammogram within 1 year tended to have more aggressive tumors… resulting in more aggressive therapy.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Patients with palpable presentation were younger than those with screen-detected cancer (mean age 57 versus 62 years).”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“A total 41 of 52 interns (79%) completed the curriculum. Their average MammaCare scores improved from 63% to 91%. Scores on a knowledge-based assessment improved from 47% on the pretest to 85% on the posttest (P < .001). Comparison PGY-2s who did not complete the curriculum averaged a score of 52% (P < .001).”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Two independent trials found that the CBE Simulator produced significant gains in clinical breast examination skills suggesting that this technology may improve the accuracy and quality of breast cancer screening.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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“Training in clinical breast examination as part of a general surgery core curriculum… These data suggest significant improvement in CBE in students receiving formalized instruction.”

The effectiveness of postgraduate education on the clinical breast examination skills of primary care physicians. American Journal of Managed Care, 2, 989-995. https://cdn.sanity.io/files/0vv8moc6/ajmc/3c844def9260b73f7efc7549f33113b8a502b68a.pdf/AJMC1996SepSmith989_995.pdf

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The MammaCare® Foundation is a 501(c)(3) non-profit dedicated to training every hand that examines a woman, including her own. The MammaCare Method is the recognized standard for performing and teaching clinical and personal breast examination. MammaCare provides clinical certification services and high-fidelity simulation-based training.

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