Real-time breast US after second opinion averts biopsy

Tuesday, November 28 | 11:40 a.m.-11:50 a.m. | SSG01-08 | Room E451A
Real-time ultrasound scans performed after a second-opinion review of outside breast ultrasound studies find additional cancers and high-risk lesions and also prevents unnecessary biopsies, researchers from Memorial Sloan Kettering Cancer Center have found.

In this Tuesday morning session, Dr. Joao Horvat will share study results that demonstrate the effectiveness of doing another breast ultrasound scan of women seeking a second opinion after initial breast ultrasound. The assessments found 12 additional cancers and led to a change in management in one-third of patients.

The study included outside breast ultrasound studies that were submitted for second-opinion interpretation by 209 patients between January 2013 and May 2014. The researchers performed ultrasound scans for all of these cases and then compared their real-time interpretations of these studies with the original reports.

Following the scans, 32.5% of patients had a change in management: 49 additional biopsies of lesions not originally recommended for biopsy were performed in 43 patients, 12 additional cancers and four high-risk lesions were identified, and 40 original biopsy recommendations were canceled.

"Real-time ultrasound re-evaluation after second-opinion review of outside breast ultrasound studies can detect additional cancers and high-risk lesions and avert unnecessary biopsies," Horvat and colleagues concluded.

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