Mammographic findings of recurrent breast cancer after lumpectomy and radiation therapy: comparison with the primary tumor

Radiology
L E PhilpottsI Tocino

Abstract

To compare the mammographic findings of recurrent breast cancer with those of the primary tumor in patients who underwent lumpectomy and radiation therapy. Mammograms were reviewed of primary and recurrent tumors in 25 patients (26 lesions). Mammographic appearance, location, and histopathologic characteristics were retrospectively compared between primary and recurrent tumors. Primary and recurrent tumors were mammographically similar in 21 (81%) of the 26 lesions. Of 14 primary tumors with calcifications, 12 (86%) recurred with calcifications, and of the 12 masses, nine (75%) recurred as masses. Recurrent tumors that occurred in the lumpectomy quadrant were more often similar in mammographic appearance to the primary tumor (20 of 22 tumors) than those in other quadrants (one of four tumors) (P < .02). After conservative treatment of breast cancer, the majority of recurrent tumors appear to be mammographically similar to primary tumors. It is prudent to review preoperative mammograms during follow-up of patients after lumpectomy and radiation therapy.

Citations

Jun 17, 2009·American Journal of Clinical Oncology·Heather E NewlinNancy P Mendenhall
Jan 24, 2007·AJR. American Journal of Roentgenology·Işil Günhan-Bilgen, Ayşenur Oktay
Dec 24, 2004·AJR. American Journal of Roentgenology·Richard J BarthSteven P Poplack
Nov 14, 2006·Magnetic Resonance Imaging Clinics of North America·Monica Morrow, Gary Freedman
Apr 9, 2005·International Journal of Radiation Oncology, Biology, Physics·Gary M FreedmanNicos Nicolaou

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