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October 1976

Breast Cancer Screening

Arch Surg. 1976;111(10):1168. doi:10.1001/archsurg.1976.01360280126024

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To the Editor.—In reviewing a paper for the Yearbook of Pathology, I came across the article by Lewis et al, "Implications of Suspicious Findings in Breast Cancer Screening," published in the August 1975 issue of the Archives (110:903, 1975). An illustration on page 905 purports to represent changes of intraductal carcinoma.

I respectfully suggest that these changes do not represent intraductal carcinoma, but what most experienced pathologists would call ductal papillomatous hyperplasia. In the least, their illustration is not convincing for intraductal carcinoma. Since such an error would cast doubt on the validity of the entire study, I think a clarification of the issue would be welcome.

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