How often do you order follow up mammograms after breast radiotherapy?
The 2013 ASCO guidelines and current NCCN guidelines recommend yearly mammograms but our radiologists are still recommending mammograms every 6 months for 2-5 years. Is your practice to order yearly mammograms?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
We do it once a year, as doing them more frequently than that has not been shown to improve outcomes and this is endorsed by national societies. There is a recent paper which showed higher yields with 6 month mammograms but this has not shown to improve outcomes and our approach at present is a year...
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Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
The ASTRO Choose Wisely campaign for this year includes recommendation for yearly mammogram after breast conserving surgery and RT:
https://www.astro.org/Clinical-Practice/Choosing-Wisely/2014-Choosing-Wisely.aspx
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