NDLI: CT staging for breast cancer patients with poor prognostic tumours.

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CT staging for breast cancer patients with poor prognostic tumours.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	James, J. J. McMahon, M. A. Tennant, S. L. Cornford, E. J.
Description	Country affiliation: United kingdom Author Affiliation: James JJ ( Nottingham Breast Institute, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK. jonathan.james@nuh.nhs.uk)
Abstract	The aim of this study was to assess the value of computed tomography (CT) staging of the chest, abdomen and pelvis in patients with poor prognostic tumours and no symptoms of metastatic disease in those who have undergone primary surgical management for the treatment of breast cancer. Patients who had primary operable invasive breast cancer treated by surgery over a 2-year period were retrospectively identified. Pathological data from the surgical resection were used to calculate the Nottingham Prognostic Index. Patients with no symptoms of distant metastases who underwent CT staging of the chest, abdomen and pelvis as a result of being placed in the poor prognostic group were identified. The presence and sites of metastatic disease or any indeterminate finding were documented. Additional investigations generated as a result of the staging CT and the outcome were also recorded. Sixty-seven patients (80%) in the poor prognostic group underwent a staging CT. Forty-seven patients (70%) had no signs of metastatic disease on the staging CT. Two patients (3%) were diagnosed with metastatic disease, on the basis of the initial CT scan. Eighteen patients (27%) had an indeterminate finding requiring further investigation, generating 21 additional imaging tests - following this only one additional patient was diagnosed with metastatic disease. Seventeen patients with an initially indeterminate finding did not have metastatic disease, giving a false-positive rate of 25%. In total, three patients (4%) had a final diagnosis of metastatic disease. The routine use of CT staging in patients with no symptoms of distant metastases with primary operable breast cancer even when in a poor prognostic group is of limited value, with a low pick-up rate of metastatic disease and considerable risk of false-positive findings.
File Format	HTM / HTML
ISSN	09609776
Issue Number	6
Volume Number	21
e-ISSN	15323080
Journal	The Breast
Language	English
Publisher	Elsevier
Publisher Date	2012-12-01
Publisher Place	Netherlands
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Endocrinology Discipline Oncology Bone Neoplasms Secondary Breast Neoplasms Pathology Carcinoma, Ductal, Breast Lung Neoplasms Tomography, X-ray Computed Asymptomatic Diseases Surgery False Positive Reactions Female Humans Mastectomy Neoplasm Staging Prognosis Retrospective Studies Evaluation Studies Journal Article
Content Type	Text
Resource Type	Article
Subject	Cancer Research Surgery Oncology

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