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Detection of Recurrence: Imaging Strategies

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Breast Cancer Survivorship

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Abstract

Women who have undergone previous treatment for early breast cancer are at risk of recurrent disease at local or distant sites, as well as the development of new primary breast cancers. Breast imaging improves survival when compared to clinical examination alone. Annual mammography is the routine imaging modality of choice, with MRI and ultrasound reserved for specific populations and problem-solving. Some scenarios such as mammographically occult tumors, imaging the post-mastectomy breast and higher risk groups require specific consideration. Routine imaging to detect distant recurrence in asymptomatic patients is not performed, as this approach has not been shown to improve survival. Future directions, including the roles of tomosynthesis and new imaging strategies to detect distant recurrence and in particular oligometastatic disease are also discussed in this chapter.

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Authors and Affiliations

  1. Imaging Department, The Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 611, UK

    Kate Downey BSc, MBBS, MD, FRCR & Steven Allen MBBS, MRCS, FRCR

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  1. Kate Downey BSc, MBBS, MD, FRCR
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  2. Steven Allen MBBS, MRCS, FRCR
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Correspondence to Kate Downey BSc, MBBS, MD, FRCR .

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Editors and Affiliations

  1. The Royal Marsden NHS Foundation Trust, Sutton, United Kingdom

    Alistair Ring

  2. The Royal Marsden NHS Foundation Trust, London, United Kingdom

    Marina Parton

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Downey, K., Allen, S. (2016). Detection of Recurrence: Imaging Strategies. In: Ring, A., Parton, M. (eds) Breast Cancer Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-319-41858-2_4

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  • DOI: https://doi.org/10.1007/978-3-319-41858-2_4

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