ACR appropriateness criteria ® Local-regional Recurrence (LR) and salvage surgery breast cancer

Document Type

Journal Article

Publication Date

4-1-2012

Journal

American Journal of Clinical Oncology: Cancer Clinical Trials

Volume

35

Issue

2

DOI

10.1097/COC.0b013e3182439084

Keywords

Appropriateness criteria; Breast cancer; Local-regional recurrence; Relapse; Salvage therapy

Abstract

Despite the success of both breast conserving surgery and mastectomy, some women will experience a local-regional recurrence (LRR) of their breast cancer. Predictors for LRR after breast-conserving therapy or mastectomy have been identified, including patient, tumor, and treatment-related factors. The role of surgery, radiation, and chemotherapy as treatment has evolved over time and many patients now have the potential for salvage after LRR. This review of LRR of breast cancer and management recommendations, including the use of common clinical scenarios, represents a compilation of evidence-based data and expert opinion of the American College of Radiology Appropriateness Criteria Expert Panel on local-regional recurrence. The American College of Radiology Appropriateness Criteria are evidencebased guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Copyright © 2011 by Lippincott Williams & Wilkins.

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