Abstract

There is no doubt that the recently published data on the decrease in mortality rates in the United States in the last 5 years, which are in line with similar observations in various European countries [1], are of historical importance. After centuries of increasing rates of mortality from breast cancer, there is now a clear trend in the opposite direction. Even more interesting is the fact that this favorable trend in mortality exists in spite of the continuous increase in incidence rates for breast cancer. This clearly shows that the declining mortality is the result of improved curability of the disease. This trend was first shown by R. Doll in his analysis of mortality rates for various types of tumors in 1990 [2], when he was able to show that the trend in breast cancer mortality in the younger generations appeared to be going in a more favorable direction than in the past.

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