Statement: prior hormonal treatment(s) in the metastatic or adjuvant setting is not necessary for patients in the primary trial.
Primary_evidence: Inclusion criteria:   DISEASE CHARACTERISTICS:   Scheduled to undergo screening mammogram at one of the Boston Medical Center-affiliated primary care clinics and meets 1 of the following criteria:   Dense breast tissue   At high-risk for breast cancer   PATIENT CHARACTERISTICS:   Has 1 of the following racial or ethnic backgrounds based on the patient's country of birth or the mother and father's country of birth:   Hispanic   Haitian Creole   African American   Caucasian   PRIOR CONCURRENT THERAPY:   None specified Exclusion criteria:   No history of breast cancer, palpable breast mass, abnormal nipple discharge, or other focal complaints warranting diagnostic mammogram