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Annals of Oncology 14:1212-1214, 2003
© 2003 European Society for Medical Oncology

Original Paper

Systemic treatments for women with breast cancer: outcome with relation to screening for the disease

A. Goldhirsch1,2,+, M. Colleoni1, G. Domenighetti3 and R. D. Gelber4

1 Department of Medicine, European Institute of Oncology, Milan, Italy; 2 Oncology Institute of Southern Switzerland (IOSI), Ospedale Regionale di Lugano (Civico), Lugano, Switzerland; 3 Cantonal Health Office of Canton Ticino, Bellinzona, Switzerland, and Institute of Health Economics and Management, University of Lausanne, Switzerland; 4 Department of Biostatistics, Harvard School of Public Health, Harvard Medical School and Dana-Farber Cancer Institute, Boston, MA, USA

Received 10 July 2002; accepted 3 April 2003

Early detection and proper care of breast cancer are currently the best available approaches to the treatment of patients with the disease. In countries with a breast cancer screening programme, there has been a demonstrated reduction in breast cancer-related mortality. Such reduction has also been observed in Switzerland, a country in which no national programme of screening is available. Although there is no doubt that early diagnosis might have had a major role in reducing breast cancer mortality the magnitude of this effect is unknown. Research with tailored approaches on alternative imaging for early detection of breast cancer in high-risk women and on treatments offered according to proper criteria of responsiveness to therapies is warranted.

Key words: adjuvant treatments, breast cancer, screening


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