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Article: Surveillance mammography after breast conservation therapy in Hong Kong: Effectiveness and feasibility of risk-adapted approach

TitleSurveillance mammography after breast conservation therapy in Hong Kong: Effectiveness and feasibility of risk-adapted approach
Authors
Issue Date2008
PublisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/breast
Citation
Breast, 2008, v. 17 n. 2, p. 132-137 How to Cite?
AbstractAnnual surveillance mammography is commonly recommended after breast conservation therapy (BCT). We retrospectively reviewed its effectiveness on 511 invasive and non-invasive breast cancers treated with BCT between 1994 and 2003. The median follow-up was 5.9 years. The 5-year actuarial ipsilateral breast tumour recurrence (IBTR) rate was 4.5% and contralateral breast cancer (CBC) rate was 2.0% (representing eight times increase in risk). IBTR of 43% and 62% CBC were first detected by surveillance mammography. The IBTR detection rates per 1000 mammograms were 5.2 for patients (n=349) with one or more IBTR risk factors (age ≤45, positive/close margins or histological grade 3) and 0.6 for patients (n=162) without. No survival difference was observed between different modes of IBTR detection (p=0.342). In conclusion, a risk-adapted approach of limiting ipsilateral surveillance to patients with IBTR risk is possible but its implementation will be complicated by the continued need of contralateral surveillance. © 2007 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/180447
ISSN
2015 Impact Factor: 2.74
2015 SCImago Journal Rankings: 1.346
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorYau, TKen_US
dc.contributor.authorSze, Hen_US
dc.contributor.authorSoong, ISen_US
dc.contributor.authorWong, Wen_US
dc.contributor.authorChan, Ken_US
dc.contributor.authorChang, Aen_US
dc.contributor.authorLau, KYen_US
dc.contributor.authorLee, Aen_US
dc.date.accessioned2013-01-28T01:38:12Z-
dc.date.available2013-01-28T01:38:12Z-
dc.date.issued2008en_US
dc.identifier.citationBreast, 2008, v. 17 n. 2, p. 132-137en_US
dc.identifier.issn0960-9776en_US
dc.identifier.urihttp://hdl.handle.net/10722/180447-
dc.description.abstractAnnual surveillance mammography is commonly recommended after breast conservation therapy (BCT). We retrospectively reviewed its effectiveness on 511 invasive and non-invasive breast cancers treated with BCT between 1994 and 2003. The median follow-up was 5.9 years. The 5-year actuarial ipsilateral breast tumour recurrence (IBTR) rate was 4.5% and contralateral breast cancer (CBC) rate was 2.0% (representing eight times increase in risk). IBTR of 43% and 62% CBC were first detected by surveillance mammography. The IBTR detection rates per 1000 mammograms were 5.2 for patients (n=349) with one or more IBTR risk factors (age ≤45, positive/close margins or histological grade 3) and 0.6 for patients (n=162) without. No survival difference was observed between different modes of IBTR detection (p=0.342). In conclusion, a risk-adapted approach of limiting ipsilateral surveillance to patients with IBTR risk is possible but its implementation will be complicated by the continued need of contralateral surveillance. © 2007 Elsevier Ltd. All rights reserved.en_US
dc.languageengen_US
dc.publisherChurchill Livingstone. The Journal's web site is located at http://www.elsevier.com/locate/breasten_US
dc.relation.ispartofBreasten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBreast Neoplasms - Radiography - Surgeryen_US
dc.subject.meshCost-Benefit Analysisen_US
dc.subject.meshFeasibility Studiesen_US
dc.subject.meshFemaleen_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshMammography - Economicsen_US
dc.subject.meshMastectomy, Segmentalen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Local - Radiographyen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSurvival Analysisen_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSurveillance mammography after breast conservation therapy in Hong Kong: Effectiveness and feasibility of risk-adapted approachen_US
dc.typeArticleen_US
dc.identifier.emailSze, H: henrysze@graduate.hku.hken_US
dc.identifier.authoritySze, H=rp01697en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.breast.2007.08.001en_US
dc.identifier.pmid17905584-
dc.identifier.scopuseid_2-s2.0-41549145305en_US
dc.identifier.hkuros266175-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-41549145305&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume17en_US
dc.identifier.issue2en_US
dc.identifier.spage132en_US
dc.identifier.epage137en_US
dc.identifier.isiWOS:000257274400005-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridYau, TK=7006540678en_US
dc.identifier.scopusauthoridSze, H=23490726900en_US
dc.identifier.scopusauthoridSoong, IS=9239786900en_US
dc.identifier.scopusauthoridWong, W=7403973026en_US
dc.identifier.scopusauthoridChan, K=7406034305en_US
dc.identifier.scopusauthoridChang, A=27168648000en_US
dc.identifier.scopusauthoridLau, KY=7401559926en_US
dc.identifier.scopusauthoridLee, A=17035384900en_US

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