Abstract
I was taught that 95% of breast cancers are first found by the patient. More recent studies suggest that this has changed with increased and earlier detection by physicians on incidental physical examination of asymptomatic women’s breasts and the emerging benefit of screening mammography (Nemoto et al. 1982). As a consequence of this, and as patients have become more informed and optimistic with less self-denial and fear, we are seeing fewer locally advanced lesions.

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