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March 2010 · Vol. 22, No. 03

Comment & Controversy

Breast self-exam is a valuable tool

I’VE BEEN RETHINKING MY ZEAL FOR BREAST CANCER SCREENING ANDREW M. KAUNITZ, MD (EDITORIAL, DECEMBER 2009)

Dr. Kaunitz has it wrong. Not only do I encourage breast self-examination (BSE), I instruct patients carefully so that they gain the skill and confidence they need. We may lack level-1 evidence that BSE reduces the mortality rate, but common sense and more than 50 years of clinical practice have convinced me that it would be wrong to discourage such a simple, painless, cost-free procedure.

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