Cancer biology may be more important than diagnostic delay

EDITOR —Delay in the diagnosis of cancer is universally considered to be unacceptable. The results of the study of treatment delay and survival in women with endometrial cancer in Scotland are therefore counterintuitive.1 Crawford et al found that delay and survival were inversely related. Women with the shortest delay had more advanced disease and had the worst survival. Although these results were unexpected, they are consistent with previous studies in cervix and breast cancer. An earlier study in the …