Preoperative staging of primary breast cancer. A multicentric study

This article reports on a consecutive series of 3627 breast cancer (BC) patients undergoing preoperative staging by chest x‐ray (CXR), bone x‐ray (BXR) or bone scintigraphy (BS), and liver ecography (LE) or liver scintigraphy (LS). The detection rate (DR) of preclinical asymptomatic distant metastas...

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Veröffentlicht in:Cancer 1988-03, Vol.61 (5), p.1038-1040
Hauptverfasser: Ciatto, Stefano, Pacini, Paolo, Azzini, Vincenzo, Neri, Alberto, Jannini, Annamaria, Gosso, Patrizia, Molino, Annamaria, Capelli, M. Carla, Costanzo, Francesco Di, Pucciatti, M. Assunta, Andreoli, Claudio, Santoro, Giuseppe, Farante, Gabriel, Ciurli, Massimo, Costa, Alberto, Brignone, Giuseppe, Ravaioli, Alberto, Scarpellini, Marilena, Rosetti, Paolo, De Leo, Giuseppe, Punzo, Clelia, Oliva, Vincenzo
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Sprache:eng
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Zusammenfassung:This article reports on a consecutive series of 3627 breast cancer (BC) patients undergoing preoperative staging by chest x‐ray (CXR), bone x‐ray (BXR) or bone scintigraphy (BS), and liver ecography (LE) or liver scintigraphy (LS). The detection rate (DR) of preclinical asymptomatic distant metastases depended on the T and N category (TNM classification system), and was very low (CXR: 0.30%, BXR: 0.64%, BS: 0.90%, LE: 0.24%, LS: 0.23%). The sensitivity, determined after a 6‐month follow‐up, was below 0.50% for all tests. The highest value (0.48%) was recorded for BS, which also had the lowest specificity (0.95%). The entire preoperative staging policy using the studied tests seems questionable due to poor sensitivity and an extremely low DR of distant metastases.
ISSN:0008-543X
1097-0142
DOI:10.1002/1097-0142(19880301)61:5<1038::AID-CNCR2820610530>3.0.CO;2-Z