Considerable controversy exists regarding the frequency and intensity of surveillance following treatment for breast cancer.
Book Title: Surveillance mammography after treatment for primary breast cancer
Author:Lynda McGahan,Hussein Z. Noorani,Canadian Coordinating Office for Health Technology Assessment
Published on 2000 by
ISBN: /
Total Page: 18
Book Category:Health and Fitness
Book is About: Breast Cancer Treatment
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Considerable controversy exists regarding the frequency and intensity of surveillance following treatment for breast cancer. This paper is a systematic, structured literature review that evaluates the practice of routine surveillance mammography and its impact on disease outcomes. While annual surveillance mammography is recommended by professional groups and required in the protocols of randomized controlled trials, there is variation in practice among breast cancer specialists in terms of the frequency of follow-up mammograms. Currently there are no randomized controlled trials demonstrating that early detection of local recurrence (LR) and/or contralateral breast cancer (CBC) improves survival in women with breast cancer. Retrospective studies to date show no significant differences in the median time to detection of ipsilateral recurrence, 5 and 10 year actuarial LR rates, or overall survival between mammography may be more frequently associated with smaller tumour size, lower stage and older patient age. CBC may be more frequently detected by mammography than are ipsilateral tumours.
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Lynda McGahan,Hussein Z. Noorani,Canadian Coordinating Office for Health Technology Assessment
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