TY - JOUR
T1 - George Peters Award
T2 - How does breast-specific gamma imaging affect the management of patients with newly diagnosed breast cancer?
AU - Killelea, Brigid K.
AU - Gillego, Alyssa
AU - Kirstein, Laurie J.
AU - Asad, Juhi
AU - Shpilko, Marina
AU - Shah, Avni
AU - Feldman, Sheldon
AU - Boolbol, Susan K.
PY - 2009/10
Y1 - 2009/10
N2 - Background: We sought to determine the number of patients with known breast cancer who were found to have an additional, mammographically occult lesion detected on breast-specific gamma imaging (BSGI). Methods: An institutional review board-approved review of all patients who underwent BSGI at Beth Israel Medical Center from 2006 to 2008 was performed. Results: A total of 82 patients underwent BSGI for newly diagnosed breast cancer. Of these, 18 had an additional abnormality, and 17 were biopsied. There were 4 cases of invasive ductal carcinoma, 1 invasive lobular carcinoma, 1 ductal carcinoma in situ, 1 lobular carcinoma in situ, 2 papillomas, and 8 benign biopsies. One patient proceeded directly to mastectomy and an area of ductal carcinoma in situ was found, corresponding to the BSGI. Conclusions: In our study group, 22% of patients had a surgical change in management based on BSGI findings. BSGI detected additional carcinoma in 9%. BSGI plays an important role in the clinical management of patients with known breast cancer.
AB - Background: We sought to determine the number of patients with known breast cancer who were found to have an additional, mammographically occult lesion detected on breast-specific gamma imaging (BSGI). Methods: An institutional review board-approved review of all patients who underwent BSGI at Beth Israel Medical Center from 2006 to 2008 was performed. Results: A total of 82 patients underwent BSGI for newly diagnosed breast cancer. Of these, 18 had an additional abnormality, and 17 were biopsied. There were 4 cases of invasive ductal carcinoma, 1 invasive lobular carcinoma, 1 ductal carcinoma in situ, 1 lobular carcinoma in situ, 2 papillomas, and 8 benign biopsies. One patient proceeded directly to mastectomy and an area of ductal carcinoma in situ was found, corresponding to the BSGI. Conclusions: In our study group, 22% of patients had a surgical change in management based on BSGI findings. BSGI detected additional carcinoma in 9%. BSGI plays an important role in the clinical management of patients with known breast cancer.
KW - Breast cancer
KW - Breast imaging
KW - Breast specific gamma imaging
KW - Contralateral breast
KW - Ipsilateral breast
UR - http://www.scopus.com/inward/record.url?scp=70349456656&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2009.06.016
DO - 10.1016/j.amjsurg.2009.06.016
M3 - Article
C2 - 19800450
AN - SCOPUS:70349456656
SN - 0002-9610
VL - 198
SP - 470
EP - 474
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 4
ER -