If hx breast CA: annual mammography (ACR,5 NCCN6); ACR rates tomosynthesis equivalent w/ mammography5 as usually appropriate and considers that adjunctive MRI7 (w/ and w/o contrast) may be appropriate. However, ACS8 considers insufficient evidence for adj

By vgreene, 9 September, 2015
Detail (Long)
<b>If hx breast CA:</b> annual mammography (ACR,<sup>5</sup> NCCN<sup>6</sup>); ACR rates tomosynthesis equivalent w/ mammography<sup>5</sup> as usually appropriate and considers that adjunctive MRI<sup>7</sup> (w/ and w/o contrast) may be appropriate. However, ACS<sup>8</sup> considers insufficient evidence for adjunctive MRI for breast CA pts. If s/p breast-conserving surgery, recommend post-tx mammogram 1y after initial mammogram—at least 6mo after RT completion—then annually (ASCO,<sup>9</sup> NCCN<sup>10</sup>); if DCIS w/ breast conserved, NCCN<sup>6</sup> additionally recommends mammogram @ 6-12mo after breast conservation tx. NCCN<sup>10</sup> doesn't consider routine imaging of reconstructed breast to be indicated