Back to Search
Start Over
ACR Appropriateness Criteria® local-regional recurrence (LR) and salvage surgery: breast cancer.
- Source :
-
American journal of clinical oncology [Am J Clin Oncol] 2012 Apr; Vol. 35 (2), pp. 178-82. - Publication Year :
- 2012
-
Abstract
- Despite the success of both breast conserving surgery and mastectomy, some women will experience a local-regional recurrence (LRR) of their breast cancer. Predictors for LRR after breast-conserving therapy or mastectomy have been identified, including patient, tumor, and treatment-related factors. The role of surgery, radiation, and chemotherapy as treatment has evolved over time and many patients now have the potential for salvage after LRR. This review of LRR of breast cancer and management recommendations, including the use of common clinical scenarios, represents a compilation of evidence-based data and expert opinion of the American College of Radiology Appropriateness Criteria Expert Panel on local-regional recurrence. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
- Subjects :
- Antineoplastic Agents therapeutic use
Biomarkers, Tumor analysis
Breast Neoplasms chemistry
Breast Neoplasms drug therapy
Breast Neoplasms radiotherapy
Chemotherapy, Adjuvant
Clinical Trials as Topic
Evidence-Based Medicine
Female
Humans
Neoadjuvant Therapy methods
Practice Guidelines as Topic
Predictive Value of Tests
Risk Factors
Survival Analysis
Treatment Failure
Breast Neoplasms pathology
Breast Neoplasms surgery
Mastectomy, Modified Radical
Mastectomy, Segmental
Neoplasm Recurrence, Local prevention & control
Salvage Therapy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1537-453X
- Volume :
- 35
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of clinical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 22433995
- Full Text :
- https://doi.org/10.1097/COC.0b013e3182439084