ACR Appropriateness Criteria® Stage I Breast Cancer: Initial Workup and Surveillance for Local Recurrence and Distant Metastases in Asymptomatic Women

Publication date: November 2019Source: Journal of the American College of Radiology, Volume 16, Issue 11, SupplementAuthor(s): Expert Panel on Breast Imaging, Alana A. Lewin, Linda Moy, Paul Baron, Aarati D. Didwania, Roberta M. diFlorio-Alexander, Jessica H. Hayward, Huong T. Le-Petross, Mary S. Newell, Amar Rewari, John R. Scheel, Ashley R. Stuckey, W. Warren Suh, Gary A. Ulaner, Nina S. Vincoff, Susan P. Weinstein, Priscilla J. SlanetzAbstractAs the proportion of women diagnosed with early stage breast cancer increases, the role of imaging for staging and surveillance purposes is considered. National and international guidelines discourage the use of staging imaging for asymptomatic patients newly diagnosed with stage 0 to II breast cancer, even if there is nodal involvement, as unnecessary imaging can delay care and affect outcomes. In asymptomatic patients with a history of stage I breast cancer that received treatment for curative intent, there is no role for imaging to screen for distant recurrences. However, routine surveillance with an annual mammogram is the only imaging test that should be performed to detect an in-breast recurrence or a new primary breast cancer in women with a history of stage I breast cancer.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of ...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research