The gynecologist and breast cancer.

An integral part of the gynecologic examination is examination of the breasts. The gynecologist may be the primary physician, sometimes the only physician, seen on a regular basis by women of childbearing age. Such periodic examinations should continue after menopause. Cancer of the breast is recognized more often by gynecologists than by any other physician, and so gynecologists must be trained in those diagnostic procedures that are important in revealing the nature of breast nodules. Many gynecologists perform not only periodic gynecologic examination, including breast palpation and Pap smear, but a 10-point general cancer examination as well. In addition, the gynecologist must counsel and instruct his patients with respect to breast self-examination, mammography and smoking. In many parts of the world, the surgically trained gynecologic oncologist participates in treatment as well as detection and diagnosis. The fight against breast cancer requires the insights and skills of all physicians and scientists who can make a contribution in this field.