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Atypia detected during breast screening and subsequent development of cancer: observational analysis of the Sloane atypia prospective cohort in England

Objective To explore how the number and type of breast cancers developed after screen detected atypia compare with the anticipated 11.3 cancers detected per 1000 women screened within one three year screening round in the United Kingdom.

Design Observational analysis of the Sloane atypia prospective cohort in England.

Setting Atypia diagnoses through the English NHS breast screening programme reported to the Sloane cohort study. This cohort is linked to the English Cancer Registry and the Mortality and Birth Information System for information on subsequent breast cancer and mortality.

Participants 3238 women diagnosed as having epithelial atypia between 1 April 2003 and 30 June 2018.

Main outcome measures Number and type of invasive breast cancers detected at one, three, and six years after atypia diagnosis by atypia type, age, and year of diagnosis.

Results There was a fourfold increase in detection of atypia after the introduction of digital mammogr ....

United Kingdom , City Of , Baylor College Of Medicine , United States , Hugh Bishop , Randy Evans , Janet Litherland , John Dewar , Sarah Darby , Sunil Lakhani , Mark Sibbering , Matthew Wallis , Elena Provenzano , Andrew Hanby , Karoline Freeman , Valerie Speirs , Alastair Thompson , Bridget Hilton , Anthony Maxwell , Ramsey Cutress , Maggie Wilcox , Ian Tomlinson , Seni Mylvaganam , Elinor Sawyer , Hilary Dobson , Martin Lee ,

Invasive breast cancer and breast cancer death after non-screen detected ductal carcinoma in situ from 1990 to 2018 in England: population based cohort study

Objectives To evaluate the long term risks of invasive breast cancer and death related to breast cancer after non-screen detected ductal carcinoma in situ. Risks for women in the general population and for women diagnosed with ductal carcinoma in situ via the screening programme were compared.

Design Population based cohort study.

Setting Data from the National Disease Registration Service.

Participants All 27 543 women in England who were diagnosed with ductal carcinoma in situ, outside the NHS breast screening programme, during 1990 to 2018.

Main outcome measures Incident invasive breast cancer and death caused by breast cancer.

Results By 31 December 2018, 3651 women with non-screen detected ductal carcinoma in situ had developed invasive breast cancer, more than four times higher than expected from national cancer incidence rates (ratio of observed to expected rate was 4.21 (95% conference interval 4.07 to 4.35)). The ratio of observed to expect ....

United Kingdom , United States , David Dodwell , Hilary Stobart , Gurdeeps Mannu , Sarahc Darby , John Broggio , Mairead Mackenzie , University Of Oxford , Cancer Research United Kingdom , Digital Data Access Request Service , Cancer Research United Kingdom Clinician Scientist Fellowship , National Health Service , Research Ethics Committee , National Disease Registration Service , Public Health England , National Institute Of Clinical Excellence , Nuffield Department Of Population Health , National Disease Registration , Conclusions For , Regional Cancer Registries , Nuffield Department , Population Health , Humber Leeds East , College Station , Independent Cancer Patient Voice ,

More people are surviving cancer but what's it like to live with the side effects?

With record numbers beating cancer, the race is on to find long-term treatments that are less punishing ....

United Kingdom , Hilary Stobart , Oxford University ,