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An Assessment of Routine Liver Scanning in Patients With Breast Cancer
Stephen N. Wiener, MD;
Sidney H. Sachs, MD
Arch Surg. 1978;113(2):126-127.
Abstract
• A retrospective review of the value of routine perioperative liver scanning for patients with breast cancer was performed. The liver was considered to be normal in 231 of 234 patients. The hepatoscan uncovered only one patient with unsuspected metastases. There were eight false-positive studies. Measurements of liver function, SGOT, SGPT, alkaline phosphatase, and bilirubin levels separated true positive from false-positive hepatoscans for all except one patient. Abnormal liver chemistry studies also identified liver metastases in an additional follow-up group of 192 patients. The low yield of detection of hepatic metastases during the initial work-up of breast cancer patients suggests that routine hepatoscanning be abandoned unless there is evidence of abnormal liver function.
(Arch Surg 113:126-127, 1978)
Author Affiliations
From the Departments of Radiology and Surgery, Mt Sinai Hospital of Cleveland and Case Western Reserve University School of Medicine, Cleveland.
Footnotes
Accepted for publication June 23, 1977.
Reprint requests to Department of Nuclear Medicine, Mt Sinai Hospital, 1800 E 105 St, Cleveland, OH 44106 (Dr Wiener).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Staging Investigations in Patients With Breast Cancer: The Role of Bone Scans and Liver Imaging
Samant and Ganguly
Arch Surg 1999;134:551-554.
ABSTRACT
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