Improve Breast Cancer Case Documentation with BI-RADS Considerations
The BI-RADS (Breast Imaging Reporting and Data System) provides standardized guidelines for documenting breast imaging findings, which are essential for maintaining accuracy in cancer registry data. This TIP Card is designed to help cancer registrars ensure consistency and precision when abstracting breast cancer cases, contributing to higher-quality data that enhances understanding and treatment of breast cancer.
- Registrars should monitor imaging reports closely to ensure appropriate follow-up actions, including biopsies and additional diagnostics, are completed and documented.
- Accurate documentation of imaging findings, even when no malignancy is present, is valuable for tracking patient history and monitoring changes over time.
- The BI-RADS date may serve as the earliest Date of Diagnosis, ensuring registrars capture the initial identification of cancer when relevant.
- Ensuring proper follow-up on suspicious or highly suggestive findings allows registrars to maintain comprehensive records, supporting better patient care outcomes.
- Complete documentation of confirmed malignancies, including staging and treatment, is essential for accurate reporting and quality improvement within cancer programs.
