Clinical Study

Screening prior to Breast Cancer Diagnosis: The More Things Change, the More They Stay the Same

Table 1

Clinical characteristics between the years of 2010 and 2012.

VariablesYears and total (%)
All years 
2010 
2011 
2012 
value

Age group
 40–49 years270 (24%)102 (24%)118 (27%)50 (20%)0.25
 50–74 years696 (63%)271 (63%)256 (60%)169 (67%)
 75+ years146 (13%)58 (13%)56 (13%)32 (13%)
Method of first detection
 Self-breast exam272 (24%)118 (28%)97 (23%)57 (23%)0.40
 Clinical breast exam51 (5%)23 (5%)15 (3%)13 (5%)
 Mammogram684 (61%)251 (58%)270 (63%)163 (65%)
 Ultrasound53 (5%)22 (5%)21 (5%)10 (4%)
 MRI43 (4%)14 (3%)23 (5%)6 (2%)
 Other9 (1%)3 (1%)4 (1%)2 (1%)
Palpability
 Nonpalpable787 (71%)290 (67%)318 (74%)179 (71%)0.10
 Palpable325 (29%)141 (33%)112 (26%)72 (29%)
Screening frequency
 Annual 772 (69%)310 (72%)295 (69%)167 (67%)0.30
 Biennial 83 (8%)36 (8%)36 (8%)11 (4%)
 Nonregular193 (17%)69 (16%)78 (18%)46 (18%)
 NA/missing64 (6%)16 (4%)21 (5%)27 (11%)
Breast cancer stage
 Stage 0260 (23%)100 (23%)109 (25%)51 (20%)0.66
 Stage I556 (50%)212 (49%)211 (49%)133 (53%)
 Stage II235 (21%)97 (23%)84 (20%)54 (22%)
 Stage III54 (5%)19 (4%)22 (5%)13 (5%)
 Stage IV1 (0.09%)1 (0.23%)0 (0%)0 (0%)
 No residual cancer (after neoadjuvant)6 (1%)2 (1%)4 (1%)0 (0%)
Histology
 DCIS253 (23%)99 (23%)104 (24%)50 (20%)0.79
 DCIS with microinvasion21 (2%)7 (2%)11 (3%)3 (1%)
 Invasive ductal carcinoma663 (59%)258 (60%)250 (58%)155 (62%)
 Invasive lobular carcinoma108 (10%)41 (9%)40 (9%)27 (11%)
 Mixed (tubular, papillary, medullary, etc.)67 (6%)26 (6%)25 (6%)16 (6%)
ER status
 Negative < 10%184 (17%)59 (14%)81 (19%)44 (18%)0.12
 Positive ≥ 10%912 (82%)365 (85%)343 (80%)204 (81%)
 Unknown/missing16 (1%)7 (1%)6 (1%)3 (1%)
PR status
 Negative < 10%334 (30%)118 (27%)139 (32%)77 (31%)0.29
 Positive ≥ 10%762 (69%)306 (71%)285 (66%)171 (68%)
 Unknown/missing16 (1%)7 (2%)6 (2%)3 (1%)
HER-2 neu status
 Negative (0, 1+)732 (66%)279 (65%)276 (64%)177 (70%)0.03
 Positive (3+)94 (8%)36 (8%)36 (8%)22 (9%)
 Equivocal (2+)12 (1%)10 (2%)2 (1%)0 (0%)
 Unknown/missing274 (25%)106 (25%)116 (27%)52 (21%)

MRI: magnetic resonance imaging; DCIS: ductal carcinoma in situ; ER: estrogen receptor; PR: progesterone receptor.