Pelvic computed tomography of breast carcinoma patients. Should it routinely be added to abdominal computed tomography?

Abstract:

BACKGROUND:This study was conducted to determine if pelvic computed tomography (CT) should routinely be appended to abdominal CT in the workup of patients with breast carcinoma. METHODS:The abdominal-pelvic CTs of 139 breast carcinoma patients (195 exams) were reviewed. Scans were grouped by indication and whether pelvic pathology was known before CT. Pelvic CT results were correlated with their effect on patient management. RESULTS:Among the 119 patients without pre-CT evidence of pelvic disease, a nonosseous pelvic metastasis was identified in only 1; this patient also had liver metastases and management was not changed. No unsuspected pelvic CT finding altered therapy for breast carcinoma. However, three patients underwent surgery for asymptomatic masses discovered on pelvic CT; all were benign. CONCLUSIONS:Pelvic CT is unlikely to affect the management of patients with breast carcinoma by detecting occult metastatic disease.

journal_name

Cancer

journal_title

Cancer

authors

Meyer JI,Herts BR,Einstein DM,Singer AA,Budd GT,Cohen MA

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

500-4

issue

3

eissn

0008-543X

issn

1097-0142

pii

10.1002/(SICI)1097-0142(19970201)79:3<500::AID-CNC

journal_volume

79

pub_type

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