Document Detail


Breast-conserving therapy for invasive carcinoma: diagnosis of local recurrence.
MedLine Citation:
PMID:  1944988     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The way in which local recurrence after breast conserving treatment for invasive carcinoma became apparent, is reported in 44 patients. All patients were followed by regular physical examination and annual mammography. In 36 patients first suspicion of local recurrence was heralded by clinical signs and symptoms, presented between two scheduled routine visits in 12 patients, and at the time of a routine visit in 14 patients. Routine physical examination by surgeon or radiotherapist revealed local recurrence in 10 patients. Local recurrence was detected only by mammography in eight patients. Mammography confirmed the clinical suspicion in seven patients. The remaining 23 patients with clinical overt recurrence showed no signs of recurrent tumour on the mammographs performed after first clinical suspicion. Fine needle aspiration (FNA) cytology confirmed the clinical suspicion in 35 of the 38 tested patients. In our experience, regular physical examination is the mainstay for the detection of local recurrence after breast conserving therapy. Mammography was of limited value but proved more valuable for the early detection of recurrent tumour outside the primary tumour area. Fine needle aspiration cytology is a helpful tool in confirming the diagnosis of local recurrence.
Authors:
E J Rutgers; A B van Rossum; J L Peterse; P Cohen; J H Borger; H W Kemperman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Netherlands journal of surgery     Volume:  43     ISSN:  0167-2487     ISO Abbreviation:  Neth J Surg     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-12-17     Completed Date:  1991-12-17     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8005043     Medline TA:  Neth J Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  110-3     Citation Subset:  IM    
Affiliation:
Department of Surgery, The Netherlands Cancer Institute (Antoni van Leeuwenhoek Huis), Amsterdam.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biopsy, Needle
Breast Neoplasms / diagnosis*,  radiotherapy,  surgery
Female
Humans
Mammography*
Middle Aged
Neoplasm Recurrence, Local / diagnosis*,  radiotherapy,  surgery
Physical Examination*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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