Title |
Value of Contralateral Surveillance Mammography for Primary Breast Cancer Follow‐up
|
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Published in |
World Journal of Surgery, February 2014
|
DOI | 10.1007/s002680010171 |
Pubmed ID | |
Authors |
James Kollias, Andrew J. Evans, A. Robin M. Wilson, Ian O. Ellis, Christopher W. Elston, Roger W. Blamey |
Abstract |
Mammographic screening of the contralateral breast is often advocated during follow-up of women previously treated for primary operable breast cancer. The purpose of this study was to determine the value of this investigation. Between 1987 and 1995 a total of 5102 contralateral screening mammograms were performed biennially on 2511 women aged </= 70 years following treatment for primary operable breast cancer. Sixty-five metachronous contralateral breast cancers were identified: 21 (32%) at routine clinical examination, 24 (37%) at mammography, and 20 (31%) by patients between routine follow-up appointments. The prognostic features of metachronous cancers were better or similar to those of the first cancer in 59 of 65 (91%) cases. Because of the favorable prognostic characteristics of the contralateral cancer, mammographic screening may have contributed to the long-term survival of 16 of 26 women in whom the histologic characteristics of the first cancer predicted a good prognosis. The cancer detection rate with mammography for these women was 6.5 per 1000 contralateral mammogram investigations at a cost of pound3852 per cancer detected. The results of this study suggest that surveillance mammography of the contralateral breast is of value in women whose first cancer predicted a favorable prognosis. |
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Geographical breakdown
Country | Count | As % |
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India | 1 | 11% |
Unknown | 8 | 89% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 3 | 33% |
Student > Doctoral Student | 1 | 11% |
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Student > Master | 1 | 11% |
Professor > Associate Professor | 1 | 11% |
Other | 0 | 0% |
Unknown | 2 | 22% |
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Medicine and Dentistry | 4 | 44% |
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