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KMID : 1103720080580050503
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Journal of the Korean Society of Radiology
2008 Volume.58 No. 5 p.503 ~ p.507
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The Role and Difficulties of the Use of Routine Screening Abdomen Ultrasound for the Detection of a Liver Metastasis in Postoperative Breast Cancer Patients
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Yoo Eun-Young
Ko Eun-Young
Lee Won-Jae
Im Jae-Hoon
Yoo So-Young
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Abstract
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Purpose: To evaluate the role and difficulties of the use of routine abdomen ultrasound (US) in postoperative breast cancer patients.
Materials and Methods: We reviewed the clinical records of 2460 patients who received breast cancer surgeries and underwent routine follow-up abdomen US for more than five years. We evaluated the number and clinical conditions of patients with a liver metastasis. We also evaluated the cut-off point of the breast cancer stage where a metastasis was likely to occur using the chi-squared test and receiver operator characteristic (ROC) analysis.
Results: A metastasis developed in 238 patients (9.7%), and the liver was the third most common organ site. However, just 24 (0.98%) patients presented only with a liver metastasis. Among these 24 patients, a metastasis was detected in 17 patients with the use of routine abdomen US. The cut-off point for a metastasis was Stage 3A.
Conclusion: The use of routine screening abdomen ultrasound for the detection of a liver metastasis in postoperative breast cancer patients is not recommended. However, US can be used selectively in patients with clinical symptom or that present with a high stage equal or greater than Stage 3A.
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KEYWORD
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Breast neoplasms, Neoplasms metastasis, Follow-Up studies, Ultrasonography, Neoplasms recurrent, local
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