- Poster presentation
Evidence to support the use of ultrasound in addition to mammography as part of breast cancer follow-up surveillance
Breast Cancer Research volume 10, Article number: P54 (2008)
Following breast cancer treatment, our unit has routinely offered ultrasound in conjunction with mammography as part of radiological follow-up surveillance. The primary objective was to assess the value of ultrasound as an adjunct to mammography in surveillance detection of local/nodal recurrent disease.
A retrospective analysis of all breast cancer patients with recurrence who had completed 5 years of follow-up was performed. The site of recurrence was noted (local and/or nodal) and the method of detection was also recorded. The recurrences primarily detected as a result of radiological surveillance invite were investigated and noted to be apparent by mammogram exclusively, apparent by ultrasound exclusively or apparent by both modalities.
During the 8-year study period, 2,580 patients were treated surgically and completed follow-up; 116 recurrences were detected (4.5%). From the 116 patients the total number of recurrences detected purely as a result of radiological surveillance invite was 43% (n = 50). Of those, 22% (n = 11) were ultrasound detectable only. The primary method of detection was very different depending on the site of recurrence.
Ultrasound does have value in radiological breast cancer follow-up as an adjunct to mammography, being the primary and exclusive detection tool in 1/5 of radiologically detected cases overall. Ultrasound surveillance has primarily detected 25% of nodal recurrence that otherwise would have lead to delayed diagnosis.
About this article
Cite this article
Andrews, S., Ferguson, D., Dunn, J. et al. Evidence to support the use of ultrasound in addition to mammography as part of breast cancer follow-up surveillance. Breast Cancer Res 10 (Suppl 3), P54 (2008). https://doi.org/10.1186/bcr2052