A pictorial review of the varied appearance of atypical liver metastasis from carcinoma of the breast

Roach, Huw; Whipp, E.; Virjee, J.; Callaway, Mark

doi:10.1259/bjr/16104611

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…The malignancy probability of each lesion was scored on a four‐point ordinal scale: 0, normal; 1, definitely benign; 2, indeterminate; and 3, definitely malignant. Lesions detected on the APCT images were evaluated as either benign or malignant based on their morphological characteristics and the pattern of contrast enhancement 12–14 . For each lesion, the affected body part was also determined.…”

Section: Methodsmentioning

confidence: 99%

“…Lesions detected on the APCT images were evaluated as either benign or malignant based on their morphological characteristics and the pattern of contrast enhancement. [12][13][14] For each lesion, the affected body part was also determined. In the case of diffuse infiltration patterns, especially in metastatic disease to the bone, an evaluation system of anatomical regions was applied, and lesions were counted according to the affected bone region.…”

Section: Image Evaluationmentioning

confidence: 99%

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A critical review of abdominopelvic computed tomography for the detection of asymptomatic metastasis in new and recurrent breast cancers

Nam

Ahn

Jang

et al. 2021

Asia-Pac J Clncl Oncology

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Aim: Abdominopelvic computed tomography (APCT) is a commonly used staging investigation to detect asymptomatic metastasis in breast cancer including early breast cancer (EBC). This study aimed to assess the usefulness of APCT in breast cancers at each clinical stage. Methods:Patients with new or recurrent invasive breast cancer between January 2009 and December 2014 were included in the study. All staging APCT results were reviewed to evaluate its yield and false positive rate (FPR) and how many investigations are needed to confirm indeterminate results. Odds ratios (ORs) for positive APCT results were calculated for possible risk factors for asymptomatic metastasis.Results: Sixty-five asymptomatic metastases were detected from 1002 APCTs, giving an overall yield of 6.5%. The overall false-positive rate was 14.9 % due to 149 indeterminate findings that were found not to be metastases after further investigations or observation. Whereas the APCTs have a low yield of 3.1% in EBC, but advanced breast cancer and recurrent breast cancer have a high incidence of asymptomatic metastases (13.8% and 16.3%, respectively). The most common cause of indeterminate findings was small liver nodules, including liver cysts and liver hemangiomas. Human epidermal growth factor receptor2 (HER2) status and tumor stage are most significant predictors for positive results of staging APCT scans with high ORs (3.9 and 3.7, respectively). Conclusion:Staging APCT is associated with a high incidence of FPRs and low yield, especially among EBCs. It is desirable to choose this investigation more selectively according to HER2 status and tumor stage.

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Section: Methodsmentioning

confidence: 99%

Section: Image Evaluationmentioning

confidence: 99%

A critical review of abdominopelvic computed tomography for the detection of asymptomatic metastasis in new and recurrent breast cancers

Nam

Ahn

Jang

et al. 2021

Asia-Pac J Clncl Oncology

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“…Some unusual patterns of liver metastases from breast cancer include cirrhotic-like appearance, lobar atrophy secondary to carcinoma involving the vascular or biliary system, and capsular retraction (Fig. 15.13 ) [ 74 ]. …”

Section: Ctmentioning

confidence: 99%

Staging of Breast Cancer

Le-Petross

Caudle

2014

Breast Cancer Screening and Diagnosis

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“…Approximately 50% of women with metastatic breast cancer present liver metastasis in the course of the disease. Radiographically, liver metastases present several appearances as follows: "target" lesions at ultrasonography, and hypoattenuating at portal phase computed tomography, because of their hypovascularization (25,26) (Figure 11). Generally, they are non-calci- fied nodular lesions, and may present calcifications after chemotherapy treatment (Figure 8).…”

Section: Liver Metastasismentioning

confidence: 99%

“…Studies have demonstrated that liver metastases can be identified as hypervascularized at contrast-enhanced arterialphase CT. Hypervascularized lesions are less common and may appear isoattenuating during the portal phase (26,27) .…”

Section: Liver Metastasismentioning

confidence: 99%

A tomografia computadorizada multislice é ferramenta importante para o estadiamento e seguimento do câncer de mama?

et al. 2012

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O câncer de mama representa o tipo de câncer mais comum em mulheres e constitui a primeira causa de morte por câncer nesta população. As alterações extramamárias relacionadas ao câncer de mama desempenham papel relevante no prognóstico e tratamento desta entidade, sendo fundamental a realização do diagnóstico correto e das diversas alterações. A maioria dessas manifestações é proveniente do tratamento adotado ou de suas complicações e pode estar associada a comprometimento linfonodal, recorrência locorregional ou metástases a distância.

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A pictorial review of the varied appearance of atypical liver metastasis from carcinoma of the breast

Cited by 7 publications

References 14 publications

A critical review of abdominopelvic computed tomography for the detection of asymptomatic metastasis in new and recurrent breast cancers

A critical review of abdominopelvic computed tomography for the detection of asymptomatic metastasis in new and recurrent breast cancers

Staging of Breast Cancer

A tomografia computadorizada multislice é ferramenta importante para o estadiamento e seguimento do câncer de mama?

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