Skip Navigation LinksHome > March 2011 - Volume 54 - Issue 1 > Breast Cancer Posttreatment Surveillance: Diagnosis and Man...
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e318208393b
Breast Cancer: Pursuing State of the Art Care

Breast Cancer Posttreatment Surveillance: Diagnosis and Management of Recurrent Disease

KARAM, AMER K. MD

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Abstract

Invasive breast cancer is the most common malignancy diagnosed in American women. The use of screening mammography and progress in adjuvant therapy has led to a steady decline in breast cancer mortality, and as the number of breast cancer survivors increases, there has been a marked increase in the number of patients enrolled in posttreatment surveillance programs .The majority of breast cancer recurrences occurs during the first decade after initial diagnosis with a peak incidence 2 to 5 years after diagnosis, although the number of recurrences for endocrine responsive cancer continues to rise afterward. The goal of posttreatment follow-up programs in patients with breast cancer is to detect potentially curable locoregional recurrences, second primary tumors, and the detection of systemic relapses. However, contrary to the long-held belief, most recurrences are symptomatic and occur during the interval between scheduled visits.

© 2011 Lippincott Williams & Wilkins, Inc.

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