title: Detection of cancer in augmented breasts by positron emission tomography.
abstract: OBJECTIVE
  To assess the diagnostic efficiency of positron emission tomography with 18-fluorine fluorodeoxyglucose in detecting breast cancer in augmented breasts.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  University hospital, Korea.
  
  
  METHODS
  9 cases or 8 patients with breasts augmented with paraffin or silicone.
  
  
  METHODS
  FDG-PET, mammography, and ultrasonography
  
  
  RESULTS
  The mammogram detected the breast cancer in only 1 of 3 patients, and ultrasonography gave a false positive result in 1 patient with an augmented breast. In contrast, PET predicted all the cancers and 5/6 benign lesions. 2/3 breast cancers had axillary FDG uptake interpreted as showing metastatic involvement, and in 1 case with cancer with no axillary lymph node involvement there was no FDG uptake in the axilla, which correlated with the pathological finding.
  
  
  CONCLUSIONS
  Although the high cost of PET makes its use as a screening test for all patients with augmented breasts unrealistic, it would be the best diagnostic choice if other methods failed.
authors.affiliation: Department of Surgery, Seoul National University College of Medicine, Chongno Gu, Korea.
authors.forename: D Y
authors.initials: DY
authors.lastname: Noh
authors.forename: I J
authors.initials: IJ
authors.lastname: Yun
authors.forename: H S
authors.initials: HS
authors.lastname: Kang
authors.forename: Y C
authors.initials: YC
authors.lastname: Kim
authors.forename: J S
authors.initials: JS
authors.lastname: Kim
authors.forename: J K
authors.initials: JK
authors.lastname: Chung
authors.forename: D S
authors.initials: DS
authors.lastname: Lee
authors.forename: M C
authors.initials: MC
authors.lastname: Lee
authors.forename: W K
authors.initials: WK
authors.lastname: Moon
authors.forename: Y K
authors.initials: YK
authors.lastname: Youn
authors.forename: S K
authors.initials: SK
authors.lastname: Oh
authors.forename: K J
authors.initials: KJ
authors.lastname: Choe
mesh_terms: D001365:Axilla; D001940:Breast / Q000000981:diagnostic imaging; D019928:Breast Implantation; D018427:Breast Implants; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D005260:Female; D005462:Fluorine Radioisotopes; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging; D008207:Lymphatic Metastasis; D008875:Middle Aged; D011237:Predictive Value of Tests; D019275:Radiopharmaceuticals; D014055:Tomography, Emission-Computed
chemical_list: D005462:Fluorine Radioisotopes; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18