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
Cancerjournal_title
Cancerauthors
Meyer JI,Herts BR,Einstein DM,Singer AA,Budd GT,Cohen MAsubject
Has Abstractpub_date
1997-02-01 00:00:00pages
500-4issue
3eissn
0008-543Xissn
1097-0142pii
10.1002/(SICI)1097-0142(19970201)79:3<500::AID-CNCjournal_volume
79pub_type
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