Radiology Medical News about breast-conserving surgery;long-term surveillance mammography;ductal carcinoma in situ

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Adherence to long-term surveillance mammography among women with ductal carcinoma in situ treated with breast-conserving surgery
Journal of Clinical Oncology, 07/07/09

Nekhlyudov L et al. - In a study to determine whether mammographic surveillance after breast-conserving surgery (BCS) occurs and by whom, it was concluded that surveillance mammography after BCS among insured women with ductal carcinoma in situ (DCIS) often did not occur yearly and declined over time after treatment. Pts and providers must remain vigilant about surveillance after BCS.

Methods

Medical records were received of women diagnosed with DCIS and treated with BCS.
Using descriptive statistics, generalized estimating, and logistic regression modeling, rates and predictors of surveillance mammography were examined over a 10-yr period after BCS.

Results

3037 women were observed for a median of 4.8 yrs.
Of 2676 women observed for at least 1 yr after BCS, most (79%) had at least 1 surveillance mammogram during the first yr of follow-up; 69% in yr 5 and 61% in yr 10.
Among those observed for 5 yrs, surveillance mammograms were more likely among women age 60 to 69 yrs, users of menopausal hormone therapy at diagnosis, as well as those treated with adjuvant radiation and adjuvant radiation with tamoxifen.
Surveillance mammograms were less likely among obese women.
Findings were similar among women observed for 10 yrs.
Only 34% and 15% of women observed for 5 and 10 yrs, respectively, had a surveillance mammogram during each yr of follow-up.

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Reexcision and perioperative high-dose-rate brachytherapy in the treatment of local relapse after breast conservation: an alternative to salvage mastectomy
Journal of Contemporary Brachytherapy, 10/13/09 Relevance Score: 64%