RSNA2024, Illinois, Amerika Birleşik Devletleri, 1 - 05 Aralık 2024, ss.1-28, (Tam Metin Bildiri)
*Teaching Points: The timely and accurate follow-up of patients with a history of breast cancer is mandatory. Women with a personal history of breast cancer are at an increased risk of either a local recurrence or a new primary breast cancer. Local recurrence can increase the risk of distant metastasis or breast cancer-related deaths, and previous studies have shown that early detection of second breast cancers can decrease the mortality rates.Surveillance is essential for the detection of recurrent disease at the earliest possible stage, allowing for prompt treatment, and potentially improving overall survival. International guidelines recommend annual mammography as the only surveillance technique (ASCO, NCCN, ESMO), but a mammogram is less sensitive in the post-surgical period due to post-treatment changes (fat necrosis, surgical scars). Breast MRI is a highly sensitive imaging modality to detect local recurrence in certain patient groups. The purpose of this educational exhibit will be to learn the role of imaging methods and findings due to treatment and findings of recurrence in breast cancer surveillance patients.
*Table of Contents/Outline: Review of incidence, risk factors, diagnostic performance of multimodality surveillance, and presentation of breast cancer recurrence. Review of post-breast-conserving treatment imaging findings and their timing of evolution. Review of available guidelines for multimodality surveillance after curative treatment for locoregional breast cancer. To learn to deal with complex findings between different imaging methods to avoid unnecessary biopsies. To learn the importance of serial follow-up Imaging. Case-based review of different presentations of breast cancer recurrence.