Radiological findings on irradiation-CT in patients with non metastatic breast cancer

Meyer, Hans Jonas; Uhlig, Johannes; Schramm, Dominik; Bach, Andreas; Surov, Alexey

doi:10.1259/bjr.20170162

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…There have been few studies specific to breast cancer examining incidental radiologic findings. Meyer et al retrospectively analyzed 382 patients with nonmetastatic breast cancer for radiologic findings on irradiation CT scans 4 . This imaging scan area covered the entire thorax and the upper part of the abdomen, and they detected a total of 892 incidental findings (mean 2.34 findings per patient).…”

Section: Discussionmentioning

confidence: 99%

“…Despite guideline recommendations, we have previously demonstrated a high rate of preoperative staging imaging completed in patients with clinically stage I‐II breast cancer who receive NAC with few positive results, which contributes to higher costs 3 . When staging imaging for patients with newly diagnosed breast cancer is used to evaluate for metastases, incidental radiologic findings of uncertain significance are often encountered 4 …”

Section: Introductionmentioning

confidence: 99%

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Incidental radiologic findings in breast cancer patients who undergo staging prior to neo‐adjuvant chemotherapy

et al. 2021

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NCCN guidelines discourage the use of staging imaging for newly diagnosed patients with early breast cancer (BC). When performed, incidental radiologic findings of uncertain significance are often encountered. The purpose of this study was to compare incidental findings seen on staging imaging with distant recurrence in patients undergoing neo‐adjuvant chemotherapy (NAC). 396 patients with BC who had NAC from 2008 to 2016 were identified from a prospectively maintained data base. Staging imaging was reviewed. Of 396 patients with BC treated with NAC, patients with a positive PET/CT for metastatic disease (n = 36, 9.1%), those that did not undergo staging imaging (n = 49, 12.4%), or those that did not have a reported incidental finding (n = 49, 12.4%) were excluded from analysis. Of the 262 patients who met criteria, mean age was 50 years (range: 26–88). 201 (76.7%) patients had stage I‐II cancer, and 61 (23.3%) patients had stage III cancer. Overall, 146 (55.7%) patients had an incidental finding on imaging. 90 (34.4%) patients had one finding, 42 (16.0%) patients had two, and 14 (5.3%) patients had three or more findings. The majority of incidental findings were seen in the ovary/uterus (29.7%), followed by lung (18.4%), liver (10.3%), and bone (9.0%). 5 (3.4%) patients had additional imaging performed. At mean follow‐up of 3.7 years (range: 0.7–10.8), 43 (15.6%) patients had a distant recurrence. Of these patients, only 5 (1.9%) patients had distant metastasis in the same organ that was initially thought to be an incidental finding. Our results suggest that breast cancer patients with incidental findings on preoperative staging imaging are unlikely to be indicative of sites for future metastasis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidental radiologic findings in breast cancer patients who undergo staging prior to neo‐adjuvant chemotherapy

et al. 2021

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“…Es existieren keine systematischen Daten bezüglich der Häufigkeit von solchen therapieassoziierten inzidentellen Befunden in der Staging-CT. Aus Sicht der Autoren sind sie jedoch im klinischen Alltag häufiger zu detektieren. töse Veränderungen der Lunge [10,24]. Bei in der CT-Verlaufskontrolle neu aufgetretenen fibrosierenden Lungenveränderungen sollte auch bedacht werden, dass diese eine Folge der Chemotherapie sein können [25].…”

Section: Entzündungenunclassified

Inzidentelle Befunde in der onkologischen Staging-CT-Untersuchung

Meyer¹,

Surov²

2019

Dtsch med Wochenschr

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Incidental findings are frequently detected in modern cross sectional imaging in up to 73 % of all radiological examinations with an increasing incidence. Especially clinically relevant findings, such as thromboembolisms, inflammation or therapy associated findings can be found in staging examinations of oncological patients. Those findings should be categorized according to their clinical relevance.

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Clinical significance of incidental findings on coronary CT angiography: Insights from a randomized controlled trial

Goldman

Lerer

Shabrang

et al. 2020

Journal of Nuclear Cardiology

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Radiological findings on irradiation-CT in patients with non metastatic breast cancer

Cited by 3 publications

References 22 publications

Incidental radiologic findings in breast cancer patients who undergo staging prior to neo‐adjuvant chemotherapy

Incidental radiologic findings in breast cancer patients who undergo staging prior to neo‐adjuvant chemotherapy

Inzidentelle Befunde in der onkologischen Staging-CT-Untersuchung

Clinical significance of incidental findings on coronary CT angiography: Insights from a randomized controlled trial

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