Mammographic findings after breast cancer treatment with local excision and definitive irradiation Journal Article


Authors: Dershaw, D. D.; Shank, B.; Reisinger, S.
Article Title: Mammographic findings after breast cancer treatment with local excision and definitive irradiation
Abstract: Following local excision and definitive irradiation of 163 breast cancers in 160 women, alterations in mammographic patterns were observed for up to 7 years. Skin thickening was observed in 96% of mammograms obtained within 1 year of completing therapy and was most pronounced in women treated with iridium implant, chemotherapy, or axillary dissection. In 76% of mammograms, alterations in the parenchymal pattern, including coarsening of stroma and increased breast density, were seen at 1 year. Neither skin nor parenchymal changes progressed after 1 year. Within 3 years of treatment the parenchymal density, which usually regressed, did not change in all patients. At 3 years skin thickness and the parenchymal pattern had returned to normal in less than 50% of the breasts of these women. Scars developed in approximately one-quarter of women. They were present on the initial post-treatment mammogram and remained unchanged on serial studies. Coarse, benign calcifications also developed in the breasts of about one-quarter of women. Microcalcifications developed in 11 breasts; biopsy specimens of six were benigh. Benign microcalcifications may be related to therapy.
Keywords: cancer surgery; major clinical study; treatment; follow up; breast cancer; breast; biopsy; histology; mammography; diagnosis; irradiation; therapy; calcification; human; priority journal
Journal Title: Radiology
Volume: 164
Issue: 2
ISSN: 0033-8419
Publisher: Radiological Society of North America, Inc.  
Date Published: 1987-08-01
Start Page: 455
End Page: 461
Language: English
DOI: 10.1148/radiology.164.2.3037592
PUBMED: 3037592
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 5 February 2021 -- Source: Scopus
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  1. D David Dershaw
    223 Dershaw
  2. Brenda M. Shank
    45 Shank