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How do you counsel women with a history of breast cancer who have dense breasts, with regards to mammography screening?
Is there a role for routine use of additional or alternative imaging modalities for these patients, such as tomosynthesis, MRI, or ultrasound? Is their risk profile any different than women with non-dense breasts?
Answer from: at Academic Institution
The question of how best to follow women after treatment for breast cancer is one that is of great concern to oncologists. Many factors play into the type and frequency of screening. However, little definitive data exists showing benefit of anything above annual screening with mammography. For our s...
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Answer from: Medical Oncologist at Community Practice
Patients with extremely dense breasts have more favorable cancers (ER/PR positive, HER2 negative, more lobular cancers, and more mammographically occult cancers than their counterparts with less-dense breasts (1)Survival, free of local recurrence and distant metastases in 403 patients followed for f...