{"id":2790,"date":"2018-10-17T19:05:56","date_gmt":"2018-10-17T17:05:56","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-perform-laboratory-tests-including-biochemical-profile-imaging-chest-x-rays-liver-and-pelvic-ultrasound-pet-ct-and-radionuclide-bone-scans-or-serum-cancer-markers-for-asymptomati\/"},"modified":"2019-10-02T10:05:40","modified_gmt":"2019-10-02T08:05:40","slug":"dont-perform-laboratory-tests-including-biochemical-profile-imaging-chest-x-rays-liver-and-pelvic-ultrasound-pet-ct-and-radionuclide-bone-scans-or-serum-cancer-markers-for-asymptomati","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-perform-laboratory-tests-including-biochemical-profile-imaging-chest-x-rays-liver-and-pelvic-ultrasound-pet-ct-and-radionuclide-bone-scans-or-serum-cancer-markers-for-asymptomati\/","title":{"rendered":"Don\u2019t perform laboratory tests (including biochemical profile), imaging (chest x-rays, liver and pelvic ultrasound, PET, CT and radionuclide bone scans) or serum cancer markers for asymptomatic patients after surgery for breast cancer, in the absence of clinical signs."},"content":{"rendered":"<p>Physical examination (medical examination) should be performed every 3-6 months for the first three years, every 6-12 months for the fourth and fifth year, and annually thereafter. In women undergoing breast-conserving surgery should be performed a bilateral mammography after treatment, one year after the initial one, and at least 6 months after completion of radiotherapy. Subsequently, unless otherwise indicated, a bilateral mammogram should be done every year.<\/p>\n","protected":false},"featured_media":2994,"template":"","meta":{"_edit_lock":["1570003404:5"],"_edit_last":["5"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_thumbnail_id":["2994"],"_wpml_word_count":["{\"total\":265,\"to_translate\":{\"it\":265}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["110"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["CIPOMO-Green Oncology #1"],"wpcf-bibliografia":["1. J Clin Oncol. 2013 Mar 1;31(7):961-5. doi: 10.1200\/JCO.2012.45.9859. Epub 2012 Nov 5.\r\n2. The GIVIO investigators. Impact of follow-up testing on servival and health-related quality of life in breast cancer patients. A multicenter randomized controlled study JAMA 1994; 271: 1587-1592.\r\n3. Palli D., RussoA, Saieva C, et al. Intensive versus clinical follow-up after treatment of primary breast cancer: 10-year update of a randomized trial. National Research Council Project on Breast Cancer Follow-up. JAMA 1999; 281:1586.\r\n4. Hurria A, Leung D., Trainor K et al. Screening chest studies are not effective in the follow-up of breast cancer patients. 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