OF RECURRENT

Th e aim of this study was to asses the accuracy of mTc-sestamibi scintimammography in pa-tients with suspected recurrent breast cancer in the breast or loco regional tissues. After routine analyses in twenty-eight women (clinical examination, ultrasound, X-ray mammography, and fi ne needle aspiration biopsy) they were examined by scintimammography. All patients with suspected recurrent cancer in the breast or loco regional tissues () undergone surgery and the fi nal diagnosis was determined by histopathological examination. Another patients were followed - months. Th e scintigraphic studies were correlated with radiological fi ndings and/ or with histopathology. Th ere were patients with recurrent tumours ( with loco-regional recurrent and in another breast). X-ray mammography identifi ed of these cancers. mTc-sestamibi scintimammography identifi ed seventeen of recurrent breast cancers. In the seven out of nine patients without cancer, scintimammography were reported as having no changes consis-tent with cancer. X-ray mammography showed suspected cancer lesions in four out of nine pa-tients without cancer. Th ere were two false-positive scintimammograms and one false negative. Axillary lymph node recurrence occurred in four patients. All of them were positive on scinti-mammography. mTc-sestamibi scintimammography showed higher sensitivity, specifi city and accuracy per patient than did X-ray mammography (, vs. ,, , vs. , and , vs. ,, respectively). To identifying recurrent breast cancer disease is better to use scintimammo-raphy than X-ray mammography