US breast may be helpful to further evaluate women with suspected recurrence unless the findings on mammography corresponding to the physical examination finding are classic for a benign etiology (eg, fat necrosis). Variant 9: Suspected local recurrence of breast cancer based on symptoms, physical examination, or laboratory value in patient with history of mastectomy. Regardless of clinical stage at time of original presentation. Digital Breast Tomosynthesis Diagnostic There is no evidence to support the use of DBT to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. FDG-PET/CT Skull Base to Mid-Thigh There is no evidence to support the use of FDG-PET/CT to evaluate suspected local recurrence in the setting of mastectomy. Mammography Diagnostic There is no evidence to support the use of mammography to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. Mammography With IV Contrast There is no evidence to support the use of mammography with IV contrast to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. MRI Breast Without and With IV Contrast Although breast MR has been evaluated in the setting of asymptomatic screening after mastectomy, there is insufficient evidence to support the use of MR as a problem-solving tool after a negative mammogram (axillary finding/reconstructed breast) and/or US. Therefore, management should be based on clinical suspicion rather than additional imaging. MRI Breast Without IV Contrast There is no evidence to support the use of noncontrast breast MRI in evaluating disease suspected recurrence. Variant 10: Surveillance.
Imaging of Invasive Breast Cancer. US breast may be helpful to further evaluate women with suspected recurrence unless the findings on mammography corresponding to the physical examination finding are classic for a benign etiology (eg, fat necrosis). Variant 9: Suspected local recurrence of breast cancer based on symptoms, physical examination, or laboratory value in patient with history of mastectomy. Regardless of clinical stage at time of original presentation. Digital Breast Tomosynthesis Diagnostic There is no evidence to support the use of DBT to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. FDG-PET/CT Skull Base to Mid-Thigh There is no evidence to support the use of FDG-PET/CT to evaluate suspected local recurrence in the setting of mastectomy. Mammography Diagnostic There is no evidence to support the use of mammography to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. Mammography With IV Contrast There is no evidence to support the use of mammography with IV contrast to evaluate suspected local recurrence in the setting of mastectomy unless the local recurrence suspected is in the axillary region or the patient has a history of breast reconstruction. MRI Breast Without and With IV Contrast Although breast MR has been evaluated in the setting of asymptomatic screening after mastectomy, there is insufficient evidence to support the use of MR as a problem-solving tool after a negative mammogram (axillary finding/reconstructed breast) and/or US. Therefore, management should be based on clinical suspicion rather than additional imaging. MRI Breast Without IV Contrast There is no evidence to support the use of noncontrast breast MRI in evaluating disease suspected recurrence. Variant 10: Surveillance.