French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies
Breast cancer is the most common female cancer in the world. Numerous studies have shown that the risk of metastatic disease increases with tumor volume. In this context, it is useful to assess whether the regular practice of formal breast self-examination (BSE) as opposed to breast awareness has an...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-06-01
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| Series: | Breast |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0960977623007452 |
| _version_ | 1797235626867687424 |
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| author | Vincent Lavoue Amélia Favier Sophie FRANCK Gérard Boutet Anne-Sophie Azuar Susie Brousse François Golfier Catherine Uzan Charlotte Vaysse Sébastien Molière Martine Boisserie-Lacroix Edith Kermarrec Jean-Yves Seror Yann Delpech Élisabeth Luporsi Christine M. Maugard Nicolas Taris Nathalie Chabbert-Buffet Jonathan Sabah Khalid Alghamdi Xavier Fritel Carole Mathelin |
| author_facet | Vincent Lavoue Amélia Favier Sophie FRANCK Gérard Boutet Anne-Sophie Azuar Susie Brousse François Golfier Catherine Uzan Charlotte Vaysse Sébastien Molière Martine Boisserie-Lacroix Edith Kermarrec Jean-Yves Seror Yann Delpech Élisabeth Luporsi Christine M. Maugard Nicolas Taris Nathalie Chabbert-Buffet Jonathan Sabah Khalid Alghamdi Xavier Fritel Carole Mathelin |
| author_sort | Vincent Lavoue |
| collection | DOAJ |
| description | Breast cancer is the most common female cancer in the world. Numerous studies have shown that the risk of metastatic disease increases with tumor volume. In this context, it is useful to assess whether the regular practice of formal breast self-examination (BSE) as opposed to breast awareness has an impact on the number of cancers diagnosed, their stage, the treatments used and mortality. Design: The Commission of Senology (CS) of the Collège National de Gynécologie et Obstétrique Français (CNGOF) respected and followed the Grading of Recommendations Assessment, Development and Evaluation method to assess the quality of the evidence on which the recommendations were based. Methods: The CS studied 16 questions individualizing four groups of women (general population, women aged over 75, high-risk women, and women previously treated for breast cancer). For each situation, it was determined whether the practice of BSE versus abstention from this examination led to detection of more breast cancers and/or recurrences and/or reduced treatment and/or increased survival. Results: BSE should not be recommended for women in the general population, who otherwise benefit from clinical breast examination by practitioners from the age of 25, and from organized screening from 50 to 74 (strong recommendation). In the absence of data on the benefits of BSE in patients aged over 75, for those at high risk and those previously treated for breast cancer, the CS was unable to issue recommendations. Thus, if women in these categories wish to undergo BSE, information on the benefits and risks observed in the general population must be given, notably that BSE is associated with a higher number of referrals, biopsies, and a reduced quality of life. |
| first_indexed | 2024-04-24T16:50:57Z |
| format | Article |
| id | doaj.art-b77a00383b6a488384d700134bae9045 |
| institution | Directory Open Access Journal |
| issn | 1532-3080 |
| language | English |
| last_indexed | 2024-04-24T16:50:57Z |
| publishDate | 2024-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Breast |
| spelling | doaj.art-b77a00383b6a488384d700134bae90452024-03-29T05:49:34ZengElsevierBreast1532-30802024-06-0175103619French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategiesVincent Lavoue0Amélia Favier1Sophie FRANCK2Gérard Boutet3Anne-Sophie Azuar4Susie Brousse5François Golfier6Catherine Uzan7Charlotte Vaysse8Sébastien Molière9Martine Boisserie-Lacroix10Edith Kermarrec11Jean-Yves Seror12Yann Delpech13Élisabeth Luporsi14Christine M. Maugard15Nicolas Taris16Nathalie Chabbert-Buffet17Jonathan Sabah18Khalid Alghamdi19Xavier Fritel20Carole Mathelin21CHU Service de Gynécologie, 16 Boulevard de Bulgarie, 35200, Rennes, FranceGynécologie-obstétrique et Médecine de La Reproduction, Maternité Hôpital Tenon, 4 Rue de La Chine, 75020, Paris, FranceInstitut Curie, 26 Rue D'Ulm, 75248, Paris Cedex 05, FranceAGREGA, Service de Chirurgie Gynécologique et Médecine de La Reproduction, Centre Aliénor D’Aquitaine, Centre Hospitalier Universitaire de Bordeaux, Groupe Hospitalier Pellegrin, Place Amélie-Raba-Léon, 33000, Bordeaux, FranceCentre Hospitalier Clavary, Chemin de Clavary, 06130, Grasse, FranceService D'oncologie Chirurgicale, Centre Eugène Marquis, Unicancer, Rennes, FranceService de Chirurgie Gynécologique et Cancérologique - Obstétrique, Hospices Civils de Lyon, CHU Lyon Sud, Lyon, FranceHôpital Pitié Salpetrière, 47 Bld de L'Hôpital, 75013, Paris, FranceService de Chirurgie Oncologique, CHU Toulouse, Institut Universitaire Du Cancer de Toulouse-Oncopole, 1 Avenue Irène Joliot Curie, 31059, Toulouse, FranceImagerie Du Sein, CHRU, Avenue Molière, 67200, Strasbourg, FranceUnité de Radiologie-sénologie. Institut Bergonié, 229 Cours de L'Argonne, 33000, Bordeaux, FranceHôpital Tenon Service de Radiologie, 4 Rue de La Chine, 75020, Paris, FranceImagerie Duroc, 9 Ter Boulevard Montparnasse 75006 Paris, FranceCentre Antoine Lacassagne, 33 Avenue de Valombrose, 06189, Nice, FranceOncologie Médicale et Oncogénétique, CHR Metz-Thionville, Hôpital de Mercy, 1 Allée Du Château, 57085, Metz, FranceService de Génétique Oncologique Clinique et Unité de Génétique Oncologique Moléculaire, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67200, Strasbourg, FranceService de Génétique Oncologique, ICANS, 17 Rue Calmette, 67200, Strasbourg, France, FranceHôpital Tenon Service de Gynécologie-obstétrique, 4 Rue de La Chine, 75020, Paris, FranceCHRU Avenue Molière, 67200, Strasbourg et ICANS, 17 Rue Albert Calmette, 67033, Strasbourg,Cedex, FranceCHRU Avenue Molière, 67200, Strasbourg et ICANS, 17 Rue Albert Calmette, 67033, Strasbourg,Cedex, FranceCentre Hospitalo-universitaire de Poitiers, 2 Rue de La Milétrie, 86021, Poitiers, FranceCHRU Avenue Molière, 67200, Strasbourg et ICANS, 17 Rue Albert Calmette, 67033, Strasbourg,Cedex, France; Corresponding author.ICANS 17 rue Albert Calmette, 67033, Strasbourg cedex, FranceBreast cancer is the most common female cancer in the world. Numerous studies have shown that the risk of metastatic disease increases with tumor volume. In this context, it is useful to assess whether the regular practice of formal breast self-examination (BSE) as opposed to breast awareness has an impact on the number of cancers diagnosed, their stage, the treatments used and mortality. Design: The Commission of Senology (CS) of the Collège National de Gynécologie et Obstétrique Français (CNGOF) respected and followed the Grading of Recommendations Assessment, Development and Evaluation method to assess the quality of the evidence on which the recommendations were based. Methods: The CS studied 16 questions individualizing four groups of women (general population, women aged over 75, high-risk women, and women previously treated for breast cancer). For each situation, it was determined whether the practice of BSE versus abstention from this examination led to detection of more breast cancers and/or recurrences and/or reduced treatment and/or increased survival. Results: BSE should not be recommended for women in the general population, who otherwise benefit from clinical breast examination by practitioners from the age of 25, and from organized screening from 50 to 74 (strong recommendation). In the absence of data on the benefits of BSE in patients aged over 75, for those at high risk and those previously treated for breast cancer, the CS was unable to issue recommendations. Thus, if women in these categories wish to undergo BSE, information on the benefits and risks observed in the general population must be given, notably that BSE is associated with a higher number of referrals, biopsies, and a reduced quality of life.http://www.sciencedirect.com/science/article/pii/S0960977623007452Breast cancerBreast self-examinationPalpationClinical examinationScreening |
| spellingShingle | Vincent Lavoue Amélia Favier Sophie FRANCK Gérard Boutet Anne-Sophie Azuar Susie Brousse François Golfier Catherine Uzan Charlotte Vaysse Sébastien Molière Martine Boisserie-Lacroix Edith Kermarrec Jean-Yves Seror Yann Delpech Élisabeth Luporsi Christine M. Maugard Nicolas Taris Nathalie Chabbert-Buffet Jonathan Sabah Khalid Alghamdi Xavier Fritel Carole Mathelin French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies Breast Breast cancer Breast self-examination Palpation Clinical examination Screening |
| title | French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies |
| title_full | French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies |
| title_fullStr | French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies |
| title_full_unstemmed | French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies |
| title_short | French college of gynecologists and obstetricians (CNGOF) recommendations for clinical practice: Place of breast self-examination in screening strategies |
| title_sort | french college of gynecologists and obstetricians cngof recommendations for clinical practice place of breast self examination in screening strategies |
| topic | Breast cancer Breast self-examination Palpation Clinical examination Screening |
| url | http://www.sciencedirect.com/science/article/pii/S0960977623007452 |
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