Diagnostic features of 225 consecutive cases of cancer recurrence in the conserved breast

Ciatto, Stefano; Cataliotti, Luigi; Distante, V.; Rontini, M.; Muraca, Maria Grazia

doi:10.1016/s0960-9776(97)90694-9

Cited by 5 publications

(2 citation statements)

References 8 publications

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“…The accuracy of mammographic surveillance post breast‐conserving therapy (BCT) — BCS with radiation therapy, has been examined in observational studies. Early reports suggest limited sensitivity due to surgical and radiation changes . Mammography of the treated breast is challenging as compressibility is reduced, and post‐treatment changes usually take the form of architectural distortion, microcalcifications, masses or densities — findings that may obscure a recurrence, with consequent delay in diagnosis; or mimic a local recurrence, with resultant increase in further diagnostic imaging or tissue sampling and their associated costs and psychological distress.…”

Section: Introductionmentioning

confidence: 99%

Qualitative mammographic findings and outcomes of surveillance mammography after partial breast reconstruction with an autologous flap

Tan

Cornford

McCulley

et al. 2014

Journal of Surgical Oncology

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Section: Introductionmentioning

confidence: 99%

Qualitative mammographic findings and outcomes of surveillance mammography after partial breast reconstruction with an autologous flap

Tan

Cornford

McCulley

et al. 2014

Journal of Surgical Oncology

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“…Studies generally have reported the proportion of ipsilateral BCs detected by mammography to range between 50% and 80% [ 6 , 15 , 22 - 28 ] if any detection by mammography is counted in the analysis. Given that data from screening mammography and clinical examination are often reported jointly, this should be distinguished from the proportion of “mammography-only” detected ipsilateral BCs, which is usually lower than the above-reported range, typically in the range of 10%-51% [ 6 , 21 , 22 , 25 , 27 - 34 ]. As an example, van der Sangen et al [ 35 ] reported that 51% of ipsilateral BCs were detected by clinical examination with or without mammography, while 38% were detected by mammography alone.…”

Section: Is Mammography Accurate?mentioning

confidence: 99%

Screening women with a personal history of breast cancer: overview of the evidence on breast imaging surveillance

Houssami

Cho

2018

Ultrasonography

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This work reviews the evidence on breast imaging for screening (surveillance) in women with a history of breast cancer (BC). Early detection of second BCs in these women improves their prognosis based on studies using mammography (usually with clinical examinations) for surveillance. Cohort studies have estimated that mammography surveillance has moderate sensitivity (65.4%) and good specificity (98.3%), and have shown that these women are at a higher risk of interval BC than age- and breast density-matched women without a history of BC. Studies of adjunct imaging (ultrasound, magnetic resonance imaging) for surveillance that have reported detection and accuracy measures have generally shown that adjunct imaging detected more second BCs than mammography and added substantially to the amount of false-positive results; however, little evidence exists regarding screening efficacy of adjunct imaging as part of routine surveillance.

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Mammographic surveillance in women with a personal history of breast cancer: How accurate? How effective?

Houssami

Ciatto²

2010

The Breast

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We review the accuracy and potential effect of mammography in surveillance of women with a personal history of breast cancer (PHBC). A literature review was performed to identify studies on screening mammography or breast surveillance reporting data on the accuracy or detection capability of mammography, or the effect of early detection of second breast cancers, in women with a PHBC. Evidence on mammography screening in women with PHBC comes from non-randomised studies, and is generally limited by several factors including design limitations. The proportion of ipsilateral breast recurrences detected with mammography ranges between 50% and 80% (including cancers detected also on clinical examination) but is lower at 8%-51% for mammography-only detection. Mammography detects approximately 45%-90% of contralateral cancers. There is evidence of a potential benefit for asymptomatic/early-detected second breast cancers (range of estimated hazard ratios: 0.10-0.86) relative to symptomatic or clinical-detection, in various surveillance strategies that include mammography, however these estimates are likely to have overestimated screening benefit. New evaluations of screening women with a PHBC are needed from screening programs or population datasets, to provide comprehensive measures of screening accuracy and outcomes in this population of women.

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Diagnostic features of 225 consecutive cases of cancer recurrence in the conserved breast

Cited by 5 publications

References 8 publications

Qualitative mammographic findings and outcomes of surveillance mammography after partial breast reconstruction with an autologous flap

Qualitative mammographic findings and outcomes of surveillance mammography after partial breast reconstruction with an autologous flap

Screening women with a personal history of breast cancer: overview of the evidence on breast imaging surveillance

Mammographic surveillance in women with a personal history of breast cancer: How accurate? How effective?

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