%0 Journal Article %T The Role of <sup>18</sup>F-FDG-PET/CT in the Management of Patients with High-Risk Breast Cancer: Case Series and Guideline Comparison %A Ben F. Bulten %A Marie J. de Haas %A Haiko J. Bloemendal %A Adriaan J. van Overbeeke %A Jan Paul Esser %A Henk J. Baarslag %A Lioe-Fee de Geus-Oei %A C. J. Rodenburg %A John M. H. de Klerk %J Advances in Molecular Imaging %P 35-41 %@ 2161-6752 %D 2014 %I Scientific Research Publishing %R 10.4236/ami.2014.43005 %X
Objectives: In grade III-IV breast cancer, dissemination of disease needs to be assessed. Until now this was done by conventional imaging (liver ultrasonography, chest X-ray and bone scintigraphy), but evidence favoring the use of FDG-PET/CT is accumulating. Methods: Patients with high-risk breast cancer, who had received conventional imaging and FDG-PET/CT, were included. Patients were staged and assigned a treatment after 1) conventional imaging and 2) FDG-PET/CT, both by a multidisciplinary oncology team. Equivocal FDG-PET/CT findings were histologically confirmed. Results: 16 patients were included (mean age 59 years). TNM-stage changed in 5 patients (31%) after FDG-PET/CT. In 3 patients (19%) unknown distant metastases were detected by FDG-PET/CT. An adjustment of treatment took place in 4 patients (25%). Conclusions: Our case series emphasizes the role of FDG-PET/CT in the staging of high-risk breast carcinoma, especially in the assessment of distant metastases. We suggest replacing conventional imaging with FDG-PET/CT.
%K Breast Cancer %K FDG-PET/CT %K Staging %K Dissemination %K Guidelines %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=47607