Methods. Personal information and clinical and pathological records we
re collected for 178 of 310 new cases of breast cancer in 1991 Cancer
Registry of Taiwan. Results. Among the subjects studied, 89.3% of the
breast cancers were found incidentally. Delayed treatment, doctor shop
ping, and taking traditional medicine were common. Only 19.7% of the t
umors were not more than 2 cm in diameter when the patients received t
reatment. The most important factors related to tumor size at treatmen
t were occupation, family economic status, and action after detection.
Those who were employed, had higher family economic status, and saw a
doctor immediately after the tumor was detected were likely to have s
maller (less-than-or-equal-to 2 cm) tumors at treatment. The applicati
on of screening methods, however, did not show any significant relatio
nship. The authors suggested implementing a breast self-examination he
alth education program, evaluating cost-benefits of different screenin
g methods, and setting up a breast cancer screening model that can mee
t the needs of Taiwanese women. (C) 1994 Academic Press, Inc.