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Diagnostic procedures and treatment of metastasised breast cancer

[Introduction]

Distantly metastasised breast cancer should be considered an incurable disease. The median chance

1 2

of survival foliowing detection of the metastases is 1.5-2 years. ’ There is, however, a considerable hetero geneity m survival; the mar gin may vary from several months to many years.¹’⁴

is maintaining or imnroving the auality of life bv treating comnlaints.l

f6.1 Diagnostic pro

DELTA

In 75% of the patients metastases are detected.5 Diagnostic procedures are focused on the naturę of the complaints and the findings obtained during physical examination.

[6.1.1 Imagingl

Complaints concerning the locomotive apparatus.

In 85% of all patients with metastasised disease, these metastases are found in the skeleton. The skeleton with red bonę marrow is affected most freąuently. Bonę scintigraphy is the preferred method of examination, supplemented by skeleton X-rays of the symptomatic areas and the deviations found during scintigraphy. [In the event of interpretation problems additional diagnostl

procedures with the aid of blank CT-exarmnation is usually sufficient. but MRI is morę sensitivel.

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□    Temporal Dimension

□    Evidence

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