Does preoperative magnetic resonance imaging modify breast cancer surgery?
OBJECTIVE
To determine the impact of preoperative use of breast magnetic resonance imaging (MRI) in therapeutic surgical approach in women with breast cancer.


METHODS
Preoperative contrast-enhanced MRI of the breast was performed in 105 patients with suspected breast carcinomas. MRI findings were correlated with mammography (MMG) and ultrasonography (US).


RESULTS
Histopathologic analysis revealed 144 breast carcinomas. The results of the MRI lead to a change in 17.1% of the planned surgical procedure. MRI imaging alone revealed 16 multifocal or multicentric tumors and four contralateral carcinomas.


CONCLUSIONS
Breast MRI could be recommended as a pre-surgical diagnostic procedure in patients allocated to breast conservation surgery. Nevertheless, further studies are needed to determine if preoperative breast MRI leads to a decrease in tumor recurrence and in overall survival.
Department of Obstetrics & Gynaecology, Erasme Hospital, Free University of Brussels, Belgium. frederic.buxant@ulb.ac.be
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Buxant
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Scuotto
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Hottat
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Noël
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Simon
D000328:Adult; D000368:Aged; D001706:Biopsy; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D008408:Mastectomy; D015412:Mastectomy, Segmental; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012680:Sensitivity and Specificity; D016217:Ultrasonography, Mammary