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Breast Cancer

Appropriate Early-Stage Care Declined in Early 1990s in U.S.

Published in Women's Health Weekly, October 26th, 2000

The appropriateness of early-stage breast cancer care for women in the USA fell by 10% between 1990 and 1995, according to research published in the September 30, 2000, issue of The Lancet.

In June 1990, a Consensus Development Conference organized by the U.S. National Institutes of Health (NIH) held that either breast-conserving surgery or total mastectomy was appropriate for most women with stage I or II breast cancer. Breast-conserving surgery was considered more desirable, but is a more complex treatment than mastectomy, because a separate incision is needed for axillary lymph-node dissection, and postoperative radiotherapy is necessary.

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