Breast cancer with a poor prognosis diagnosed after screening mammography with negative results
A partir de données américaines portant sur 306 028 femmes d'âge supérieur à 40 ans et ayant participé à un programme de dépistage par mammographie entre 2011 et 2014, cette étude évalue l'incidence des cancers dits de l'intervalle, puis met en évidence un pronostic défavorable pour ces cancers
Approximately 15% of breast cancers are diagnosed after the patient undergoes screening mammography with negative results and before the next recommended screening examination. These interval cancers (cases of cancer diagnosed during the interval between examinations) include both cancers that were present during screening mammography but were missed on examination and rapidly growing cancers that present symptomatically and tend to have a poorer prognosis than cancers detected during screening.1-3 Identifying women who are at high risk of breast cancer with a poor prognosis despite regular screening mammography could enable targeted supplemental screening for women for whom screening mammography may not be sufficient. This study describes the incidence of and risk factors associated with breast cancer with a poor prognosis after screening mammography with negative findings.
JAMA Oncology 2018