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Second Opinion Matters With Breast Cancer
Getting an expert second opinion
on mammograms may offer women improved breast cancer detection
and treatment, says a University of Michigan (U-M) Health System study.
The study found women with breast cancer who sought a second opinion
on their mammograms from experienced specialists at a major cancer
center frequently received a new cancer treatment plan.
It also found 7 percent of the women who got a second opinion
learned they had more cancer in the same breast or had a previously
undiscovered tumor in the other breast.
The findings were presented Dec. 4 at the Radiological Society
of North America's annual meeting in Chicago.
The researchers examined the medical records of 148 women who
came to the university's Breast Care Center for a consultation
after they were diagnosed or treated for breast cancer at other
medical centers.
Two-thirds of the patients had additional imaging performed, usually
a combination of mammograms and ultrasound. Those additional
images were used by radiologists to further evaluate the tumor
and the remainder of the breast.
In 45 percent (67) of the patients, the U-M team came up with
an interpretation that differed from the original. That resulted
in different recommendations for 43 of the patients, such as
additional or different biopsy procedures, additional follow-up
imaging, and changes to treatment including surgery, chemotherapy
and radiation therapy.
"Although many patients' diagnostic and treatment plans stayed
the same after a consultation, enough of them changed that we
see added value from seeking the opinion of a specialized team
with extensive experience," lead author Dr. Amy Rochester Guest
says in a prepared statement.
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