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Clinical and imaging surveillance following breast cancer diagnosis.
Flowers, Chris I; Mooney, Blaise P; Drukteinis, Jennifer S.
Afiliación
  • Flowers CI; From the H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, and University of South Florida, Tampa, FL.
  • Mooney BP; From the H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, and University of South Florida, Tampa, FL.
  • Drukteinis JS; From the H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, and University of South Florida, Tampa, FL.
Article en En | MEDLINE | ID: mdl-24451710
ABSTRACT
Breast cancer is the most common malignancy affecting women worldwide. Women have a 1 in 8 lifetime risk of breast cancer. Breast conservation therapy (BCT) is the most common method of definitive treatment. Patients who previously have had to undergo mastectomy may be now eligible for BCT or a multitude of options for reconstruction, either immediate or delayed. Surveillance imaging after a breast cancer diagnosis is important because there is an increased risk of recurrence developing in patients, and early detection has been shown to improve survival. There is currently no consensus on a protocol for imaging the postoperative breast. In patients who have undergone mastectomy, detection of recurrence has mostly been via clinical symptoms and physical exam, often at a later stage. New imaging modalities, such as magnetic resonance imaging (MRI), ultrasound (US), and positron emission mammography (PEM) are changing the way we image the postsurgical breast. MRI, coupled with physical exam and mammography, approaches 100% sensitivity and high specificity for the identification of recurrent disease. We present a review of major academic institutions' imaging protocols and discuss the advantages of including MRI in traditional mammographic and clinical exams.

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Screening_studies Idioma: En Revista: Am Soc Clin Oncol Educ Book Año: 2012 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Guideline / Screening_studies Idioma: En Revista: Am Soc Clin Oncol Educ Book Año: 2012 Tipo del documento: Article