[The efficacy of bone scintigraphy screening in postoperative follow-up of breast cancer patients].
Discussed are 110 breast cancer patients given surgery, totaling 70 stage 1 cases, 22 stage II cases, 15 stage III cases, and 3 stage IV cases, that were routinely followed-up postoperatively at 6 or 12-month intervals, said follow-ups including bone scintigraphy screening. Among 394 bone scintigrams taken of these 100 patients, 15 new cases of a bone metastasis were detected, 9 of which had either a local recurrence or an associated metastasis at the time that their bone metastasis was detected. In only 1 case, at more than five years after surgery, was a bone metastasis detected by bone scintigraphy, and even this case had another metastasis at that time. Therefore, the value of bone scintigraphy screening as part of the follow-up of postoperative breast cancer patients is questioned.
Ohnari
N
N
Dept. of Radiology, Univ. Occupational Environment Health School of Med.
Shiozaki
H
H
Ishino
Y
Y
Nakata
H
H
D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary; D001842:Bone and Bones / Q000000981:diagnostic imaging*; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015411:Mastectomy, Modified Radical; D015409:Mastectomy, Radical; D008875:Middle Aged; D011182:Postoperative Care; D011237:Predictive Value of Tests; D011877:Radionuclide Imaging; D012189:Retrospective Studies