Follow-Up Mammography Recommended for Women With Benign Lesions
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Follow-Up Mammography Recommended for Women With Benign Lesions

NEW YORK -- May 9, 2008 -- Study results published in the May 2008 issue of the American Journal of Roentgenology suggest that radiologists can, with confidence, recommend a 6-month follow-up diagnostic mammography examination -- rather than an immediate biopsy -- for patients with breast lesions that are probably benign.

The study found that 6-month, short-interval follow-up examinations had an 83% sensitivity, which is similar to the sensitivity of other diagnostic mammography, said lead author Erin J. Aiello Bowles, MPH, Group Health Center for Health Studies, Seattle, Washington.

The study included 45,007 initial, short-interval follow-up mammography examinations. Of those, 360 women with "probably benign" lesions were diagnosed with breast cancer within 6 months, and 506 women were diagnosed with cancer within 12 months -- altogether nearly 1 in 100 of the "probably benign" lesions.

"The Breast Imaging-Reporting and Data System (BI-RADS) recommends that women with a BI-RADS category 3 (probably benign) lesion get a 6-month diagnostic mammogram, with follow-up continued for the next 2 to 3 years until long-term stability is demonstrated," said coauthor Edward Sickles, MD, Professor of Radiology, University of California School of Medicine at San Francisco, San Francisco, California. "This study emphasises that radiologists and patients need to follow that recommendation," he said.

SOURCE: American Roentgen Ray Society

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