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Early mammographic screening after breast conserving surgery and radiotherapy: Is it necessary?
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Original Article
VOLUME: 50 ISSUE: 1
P: 24-29
2017

Early mammographic screening after breast conserving surgery and radiotherapy: Is it necessary?

Acta Haematol Oncol Turc 2017;50(1):24-29
DOI: 10.5505/aot.2017.94940
Lutfi Doğan
Niyazi Karaman
Mehmet Ali Gülçelik
Hikmet Erhan Güven
Mehmet Akif Üstüner
Giray Akgül
Yavuz Selim Kahraman
Cihangir Özaslan
1. Ankara Oncology Training And Research Hospital, Department Of General Surgery, Turkey
2. Gülhane Training And Research Hospital, Department Of General Surgery, Turkey
3. The Medical Faculty of Mersin University, Department of Surgical Oncology, Mersin, Turkey
4.
No information available.
No information available
Received Date: 2017-02-05T18:57:38
Accepted Date: 2017-04-05T15:06:55
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Abstract

INTRODUCTION

The aim of this study is to reveal the impact of first mammographic screening timing after Breast Conserving Surgery (BCS) and Radiotherapy (RT) on further radiological evaluations, biopsies and recurrent tumor detection.

METHODS

Two hundred and seventy eight patients treated with BCS and RT with at least one bilateral mammography (MG) obtained within two years of postoperative period were evaluated. Patients screened with MG within 6 months of RT completion constituted Group-1 and the rest (6 months to 2 years) were grouped as Group-2.

RESULTS

One hundred and ninety-seven patients in Group-1 were screened with MG in a mean time of 15 weeks (6-24 weeks) after RT has completed. Additionally, 38 patients in this group were further evaluated with ultrasonography (19.2%) and 7 with breast Magnetic Resonance Imaging (MRI) (3.5%) due to abnormal/suspicious findings on MG imaging and 8 of them underwent excisional biopsy proving no malignant disease. Additional ultrasonography scans were needed in 15 patients (10.4%) and MRI (1.3%) for 2 patients in Group-2 and one biopsy was performed, confirming a recurrent tumor.

DISCUSSION AND CONCLUSION

Our study suggests early mammography within 6 months of RT completion may result in unnecessary additional radiological imaging and unnecessary biopsies after breast conserving therapy.