Download Get Up on Stage: The Role of Imaging in TNM Staging

Get Up on Stage: The Role of Imaging in TNM Staging of Breast Cancer
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LL-BRE2435
Geraldine H Chang , MD
Julie Bykowski , MD
Jade Quijano De Guzman , MD
Hyung W Choi , BA
Sarah L Blair , MD
Haydee Ojeda-Fournier , MD
PURPOSE/AIM
1. Discuss the radiologist role in breast cancer staging 2. Review the updated 7th ed. TNM system 3. Illustrate
with multiple imaging modalities the clinical staging system 4. Self assessment using sample cases
CONTENT ORGANIZATION
Introduction; 7th Ed of Cancer Staging Manual; Principles and rules of staging; Clinical v. pathologic staging;
Imaging modalities used to stage breast cancer; Tumor size; Multifocal and multi centric disease; Regional
lymph node evaluation; Distant metastasis; Putting it all together; Sample cases in quiz format; Conclusion
SUMMARY
The staging of breast cancer has been developed and is maintained by the American Joint Committee on
Cancer (AJCC). Patients are grouped according to extent of disease based on the tumor size, lymph nodes
involved and metastasis using the TNM system. Staging is used to guide treatment, assign patients into clinical
trials, and provide prognosis. The radiologist plays an important role in the clinical staging of breast cancer and
is able to provide accurate primary tumor size, assessment of lymph nodes and presence or absence of distant
metastasis.