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Breast cancer prediction models such as the Breast Cancer Risk Assessment Tool (BCRAT; also known as the Gail model) perform poorly. Investigators have now developed a personalized risk-assessment tool that incorporates individual histologic breast biopsy data, along with demographic and clinical features, to predict breast cancer risk in women after a benign breast biopsy.
The researchers studied a cohort of 9854 women with benign breast disease (BBD) who underwent excisional breast biopsies (N Engl J Med 2005; 353:229); of these women, 924 subsequently developed breast cancer. One case-control set from the cohort was used to develop the new BBD-to-breast cancer (BBD-BC) risk-assessment tool, and another was used to validate it.
At median fo…