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Evaluation of Patients for Metastases Prior to Primary Therapy

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Breast Disease

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Abstract

For axillary staging, preoperative ultrasound (US) and needle biopsy have emerged as effective methods for triaging women with breast cancer directly to axillary surgery for SLNB or ALND or to neoadjuvant chemotherapy in those with axillary node-positive disease. However, there is no perfect modality to identify metastatic disease in breast cancer; every diagnostic test has its own advantages and limitations. The available evidence suggests routine evaluation for clinical stage III and possibly stage II breast cancer using imaging techniques including FDG PET/CT. The workup of abnormal findings in breast cancer patients is by patient signs and symptoms including history and physical examination, laboratory tests, imaging, biopsy of suspicious finding in imaging studies, and monitoring serum markers.

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Authors and Affiliations

  1. Department of General Surgery, Yeniyüzyıl University Gaziosmanpaşa Hospital, Istanbul, Turkey

    Deniz Eren Böler

  2. Department of Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey

    Neslihan Cabioğlu

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  2. Neslihan Cabioğlu
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  1. Oncology Institute, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

    Adnan Aydiner

  2. Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey

    Abdullah Igci

  3. Division of Surgical Oncology, Department of Surgery, University of Pittsburgh School of Medicine, Magee-Women’s Hospital of UPMC, Pittsburgh, PA, USA

    Atilla Soran

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Eren Böler, D., Cabioğlu, N. (2019). Evaluation of Patients for Metastases Prior to Primary Therapy. In: Aydiner, A., Igci, A., Soran, A. (eds) Breast Disease. Springer, Cham. https://doi.org/10.1007/978-3-030-16792-9_2

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  • DOI: https://doi.org/10.1007/978-3-030-16792-9_2

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  • Online ISBN: 978-3-030-16792-9

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