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Research Letter
February 19, 2020

Evaluation of Triple-Negative Breast Cancer Early Detection via Mammography Screening and Outcomes in African American and White American Patients

Author Affiliations
  • 1Henry Ford Cancer Institute, Department of Public Health Sciences, Henry Ford Health System, Detroit, Michigan
  • 2Department of Surgery, Weill Cornell Medicine, New York, New York
  • 3Henry Ford Cancer Institute, Department of Surgery, Henry Ford Health System, Detroit, Michigan
JAMA Surg. 2020;155(5):440-442. doi:10.1001/jamasurg.2019.6032

Population-based breast cancer mortality is 40% higher among African American women compared with white American women,1 a disparity partly explained by 2-fold higher incidence of biologically aggressive triple-negative breast cancer (TNBC) in African American women.2 Screening mammography improves breast cancer survival through early detection, but TNBC is more challenging to detect mammographically compared with non-TNBC.3-6 The value of screening mammography in reducing disparities through early detection of the disproportionately high TNBC burden observed in African American women is therefore uncertain.

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