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Dot Size, Lead Time, Fallibility, and Impact on Survival

Continuing Controversies in Mammography

Leonard Berlin1

1 Department of Radiology, Rush North Shore Medical Center, 9600 Gross Point Rd., Skokie, IL 60076, and Rush Medical College, Chicago, IL.



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  		Fig. 1. —Advertisement highlights contention that one of every eight American women will develop breast cancer. This statistic is not entirely accurate; it applies only to women who live beyond age 85 years. (Reprinted with permission from [9])

 


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  		Fig. 2. —Bar chart shows causes of death in women. Annual deaths due to breast cancer number fewer than 50,000. (Reprinted with permission from [13])

 


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  		Fig. 3. —Advertisement shows one dot 1 cm in diameter representing "average size of tumors detected by regular breast self-examination" and second dot 4 mm in diameter representing "average size of tumors detected by screening mammograms." (Reprinted with permission from [14])

 


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  		Fig. 4. —Advertisement shows series of circles and dots representing size of lump that might be found by breast self-examination and mammography. Smallest dot, 1.5 mm in diameter, represents size of lump that might be found "by getting a mammogram every 1-2 years." (Reprinted with permission from [15])

 

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