We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Reevaluation of baseline staging tests in breast cancer; what should be the standard?
- Authors
Samur, Mustafa; Bozcuk, Hakan Sat; Karaveli, Seyda; Pestereli, Elif; Özdogan, Mustafa; Yildiz, Mustafa; Artaç, Mehmet; Savas, Burhan
- Abstract
There has been an ongoing debate on staging in breast cancer. In this study, we evaluated the metastasis detection rate with baseline staging of breast cancer after operation. One hundred consecutive breast cancer patients were evaluated with liver ultrasonography, chest X-ray and bone scans. All patients were followed at least for 6 months. More than one third of our patients belong to the high risk group (axillary involvement >3). In 3 patients (3%) metastasis were detected. Two of them (5,8%) were in the group with pT4, N2 or N1 (N >3), one of them (2,7%) was in the group with pT2-3N0-1 (N ≤3). There was no metastasis in patients with pT1N0-1 (N ≤3). To detect one case of occult metastasis 2000 ∈ were spent. As a result, routine staging does not have a major impact on individual adjuvant treatment planning. We recommend routine staging only for patients with pT4 or N1, (N >3) or N2 disease, and we do not recommend staging for patients with pT1N0-1, (N ≤3) positive nodes. Decision about staging of the patients with pT2-3N0-1, (N ≤3) diseases should be individualized according to patients' and doctors' preferences and economic resources.
- Subjects
CANCER treatment; CANCER patients; PATHOLOGY; BREAST cancer
- Publication
Turkish Journal of Cancer, 2003, Vol 33, Issue 3, p150
- ISSN
1019-3103
- Publication type
Article