Recommendations for breast imaging follow-up of women with a previous history of breast cancer: position paper from the Italian Group for Mammography Screening (GISMa) and the Italian College of Breast Radiologists (ICBR) by SIRM

被引：19

作者：

Bucchi, Lauro ^{[1
]}

Belli, Paolo ^{[2
]}

Benelli, Eva ^{[3
]}

Bernardi, Daniela ^{[4
]}

Brancato, Beniamino ^{[5
]}

Calabrese, Massimo ^{[6
]}

Carbonaro, Luca A. ^{[7
]}

Caumo, Francesca ^{[8
]}

Cavallo-Marincola, Beatrice ^{[9
]}

Clauser, Paola ^{[10
,11
]}

Fedato, Chiara ^{[12
]}

Frigerio, Alfonso ^{[13
]}

Galli, Vania ^{[14
]}

Giordano, Livia ^{[15
]}

Golinelli, Paola ^{[16
]}

Mariscotti, Giovanna ^{[17
]}

Martincich, Laura ^{[18
]}

Montemezzi, Stefania ^{[19
]}

Morrone, Doralba ^{[5
]}

Naldoni, Carlo ^{[20
]}

Paduos, Adriana ^{[15
]}

Panizza, Pietro ^{[21
]}

Pediconi, Federica ^{[9
]}

Querci, Fiammetta ^{[22
]}

Rizzo, Antonio ^{[23
]}

Saguatti, Gianni ^{[24
]}

Tagliafico, Alberto ^{[25
]}

Trimboli, Rubina M. ^{[7
]}

Zuiani, Chiara ^{[11
]}

Sardanelli, Francesco ^{[7
,26
]}

机构：

[1] Romagna Canc Inst IRST IRCCS, Romagna Canc Registry, Via Piero Maroncelli 40, I-47014 Meldola, Forli, Italy

[2] Univ Cattolica Sacro Cuore, Dipartimento Sci Radiol, Largo Agostino Gemelli 8, I-0168 Rome, Italy

[3] Zadig Sci Commun Agcy, Via Arezzo 21, I-00161 Rome, Italy

[4] Ctr Serv Sanit, APSS, UO Senol Clin & Screening Mammog, Dipartimento Radiol, Viale Verona, I-38123 Trento, Italy

[5] ISPO, Struttura Complessa Senol Clin, Via Cosimo Vecchio 2, I-50139 Florence, Italy

[6] IRCCS AOU San Martino IST, UOC Senol Diagnost, Largo Rosanna Benzi 10, I-16132 Genoa, Italy

[7] Policlin San Donato, Res Hosp IRCCS, Radiol Unit, Via Morandi 30, I-20097 Milan, Italy

[8] UOSD Breast Unit ULSS20, Piazza Lambranzi 1, I-37142 Verona, Italy

[9] Sapienza Univ Roma, Policlin Umberto I, Dipartimento Sci Radiol Oncol & Anatomopatol, Viale Regina Elena 324, I-00161 Rome, Italy

[10] Med Univ Vienna, Gen Hosp Vienna, Div Mol & Gender Imaging, Dept Biomed Imaging & Imageguided Therapy, Waehringer Guertel 18-20, A-1090 Verona, Austria

[11] Univ Udine, Inst Radiol, Ple SM Misericordia 15, I-33100 Udine, Italy

[12] Reg Screening Coordinating Ctr, Venice, Veneto Region, Italy

[13] Reg Reference Ctr Breast Canc Screening, Turin, Italy

[14] Local Hlth Author, Mammog Screening Ctr, Modena, Italy

[15] Ctr Canc Prevent, Epidemiol Unit, Turin, Italy

[16] Local Hlth Author, Med Phys Serv, Modena, Italy

[17] Univ Turin, Dipartimento Diagnost Immagini, AOU Citta Salute & Sci Torino, Radiol 1U, Via Genova 3, I-10126 Turin, Italy

[18] IRCCS, Candiolo Canc Inst FPO, UO Radiodiagnost, Str Prov 142,Km 3-95 I, I-10060 Turin, Italy

[19] Azienda Osped Univ Integrata, DAI Patol & Diagnost, Ple A Stefani 1, I-37126 Verona, Italy

[20] Dept Hlth, Bologna, Italy

[21] IRCCS Osped San Raffaele, UO Radiol Senol, Via Olgettina 60, I-20132 Milan, Italy

[22] Local Hlth Author, Screening Ctr, Dept Prevent, Sassari, Italy

[23] Local Hlth Author, Dept Pathol, Asolo, Italy

[24] Local Hlth Author, Senol Unit, Bologna, Italy

[25] Univ Genoa, Inst Anat, DIMES, Dept Expt Med, Via Toni 14, I-16132 Genoa, Italy

[26] Univ Milan, Dept Biomed Sci Hlth, Via Morandi 30, I-20097 Milan, Italy

来源：

RADIOLOGIA MEDICA | 2016年 / 121卷 / 12期

关键词：

Breast cancer; Follow-up; Mammography; Screening; Survivorship care; EUSOBI RECOMMENDATIONS; LOCOREGIONAL RELAPSE; RECURRENCE; SURVEILLANCE; PATTERN; RISK; PARTICIPATION; GUIDELINES; SURVIVORS;

D O I：

10.1007/s11547-016-0676-8

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Women who were previously treated for breast cancer (BC) are an important particular subgroup of women at intermediate BC risk. Their breast follow-up should be planned taking in consideration a 1.0-1.5 % annual rate of loco-regional recurrences and new ipsilateral or contralateral BCs during 15-20 years, and be based on a regional/district invitation system. This activity should be carried out by a Department of Radiology integrating screening and diagnostics in the context of a Breast Unit. We recommend the adoption of protocols dedicated to women previously treated for BC, with a clear definition of responsibilities, methods for invitation, site(s) of visits, methods for clinical and radiological evaluation, follow-up duration, role and function of family doctors and specialists. These women will be invited to get a mammogram in dedicated sessions starting from the year after the end of treatment. The planned follow-up duration will be at least 10 years and will be defined on the basis of patient's age and preferences, taking into consideration organizational matters. Special agreements can be defined in the case of women who have their follow-up planned at other qualified centers. Dedicated screening sessions should include: evaluation of familial/personal history (if previously not done) for identifying high-risk conditions which could indicate a different screening strategy; immediate evaluation of mammograms by one or, when possible, two breast radiologists with possible addition of supplemental mammographic views, digital breast tomosynthesis, clinical breast examination, breast ultrasound; and prompt planning of possible further workup. Results of these screening sessions should be set apart from those of general female population screening and presented in dedicated reports. The following research issues are suggested: further risk stratification and effectiveness of follow-up protocols differentiated also for BC pathologic subtype and molecular classification, and evaluation of different models of survivorship care, also in terms of cost-effectiveness.

引用

页码：891 / 896

页数：6

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