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- W2538452007 abstract "Routine breast cancer follow-up aims at detecting second primary breast cancers and loco regional recurrences preclinically. We studied breast cancer follow- up practice and mode of relapse detection during the first 5 years of follow-up to determine the efficiency of the follow-up schedule. The Netherlands Cancer Registry provided data of 6,509 women, operated for invasive non- metastatic breast cancer in 2003-2004. In a random sample including 144 patients, adherence to follow-up guideline recommendations was studied. Mode of relapse detection was studied in 124 patients with a second primary breast cancer and 160 patients with a loco regional recurrence. On average 13 visits were performed during the first 5 years of the follow-up, whereas nine were recommended. With one, two and three medical disciplines involved, the number of visits was 9, 14 and 18, respectively. Seventy-five percent (93/124) of patients with a second primary breast cancer, 42 % (31/74) of patients with a loco regional recurrence after breast conserving surgery and 28 % (24/86) of patients with a loco regional recurrence after mastectomy had no symptoms at detection. To detect one loco regional recurrence or second primary breast cancer preclinically, 1,349 physical examinations versus 262 mammography and/or MRI tests were performed. Follow-up provided by only one discipline may decrease the number of unneces- sary follow-up visits. Breast imaging plays a major and physical examination a minor role in the early detection of second primary breast cancers and loco regional recur- rences. The yield of physical examination to detect relapses early is low and should therefore be minimised." @default.
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- W2538452007 date "2012-01-01" @default.
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- W2538452007 title "Pattern of follow-up care and early relapse detection in breast cancer patients Sandra M. E. GeurtsFemmie de VegtSabine Siesling • Karin FlobbeKatja K. H. AbenMargriet van der Heiden-van der Loo • AndreL. M. VerbeekJos A. A. M. van DijckVivianne C. G. Tjan-Heijnen" @default.
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