期刊
AMERICAN JOURNAL OF SURGERY
卷 198, 期 4, 页码 470-474出版社
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2009.06.016
关键词
Breast cancer; Breast specific gamma imaging; Contralateral breast; Ipsilateral breast; Breast imaging
类别
BACKGROUND: We sought to determine the number of patients with known breast cancer who were found to have an additional, mammographically occult lesion detected on breast-specific gamma imaging (BSGI). METHODS: An institutional review board-approved review of all patients who underwent BSGI at Beth Israel Medical Center from 2006 to 2008 was performed. RESULTS: A total of 82 patients underwent BSGI for newly diagnosed breast cancer. Of these, 18 had an additional abnormality, and 17 were biopsied. There were 4 cases of invasive ductal carcinoma, I invasive lobular carcinoma, I ductal carcinoma in situ, I lobular carcinoma in situ, 2 papillomas, and 8 benign biopsies. One patient proceeded directly to mastectomy and an area of ductal carcinoma in situ was found, corresponding to the BSGI. CONCLUSIONS: In our study group, 22% of patients had a surgical change in management based on BSGI findings. BSGI detected additional carcinoma in 9%. BSGI plays an important role in the clinical management of patients with known breast cancer. (C) 2009 Elsevier Inc. All rights reserved.
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