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Some breast cancers detected by exam

ROCHESTER, Minn., March 16 (UPI) -- Some breast cancers are still detected as a palpable lump rather than through mammographic screening, U.S. researchers say.

Patients who presented with palpable tumors -- those detected as a result of breast complaint or during examination -- had larger tumors and were at a more advanced stage at diagnosis. The women who underwent annual mammographic screening had the lowest rate of palpable presentation.

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Dr. Amy C. Degnim of the Mayo Clinic in Rochester, Minn., said the data suggested clinical breast examination and breast self-examination should continue to play a role in detecting breast cancer.

"We were a little surprised to find that the percentage of women with breast cancer who presented with a palpable lump hadn't changed much since 1990," Degnim said in a statement. "We found that 43 percent of breast cancers at Mayo Clinic Rochester in 2000 had a palpable presentation and most of the women had undergone some prior screening mammograms, but not always at the recommended annual interval."

A total of 115 women were in the 40-49 age group with 67 breast cancers identified by the patients or their doctors and 48 found by mammography, the study concluded.

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The findings are published in the Journal of the American College of Surgeons.

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