title: Increase of mastectomy rates after preoperative MRI in women with breast cancer is not influenced by patients age.
abstract: Preoperative magnetic resonance imaging (MRI) is increasingly used for staging women with breast cancer, including screening for occult ipsilateral or contralateral cancer. If breast-conserving surgery is planned, a MRI examination should be performed in all ages women with suspected breast cancer, especially those exhibiting dense or heterogeneously dense breast parenchyma, for which the sensitivity of both ultrasonography and mammography is low. MRI staging causes more extensive breast surgery in a significative proportion of women by identifying additional cancer. If the ability to find additional occult cancer is the true value of MRI, this is not influenced by patients' ages. For this reason, preoperative MRI should be counseled to all women with breast cancer by clinicians, independently from the age, as the age alone does not preclude additional findings.
authors.affiliation: Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: ga.dellacorte@gmail.com.
authors.forename: Gianni Antonio
authors.initials: GA
authors.lastname: Della Corte
authors.affiliation: Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy. Electronic address: nicola.rocco@unimi.it.
authors.forename: Nicola
authors.initials: N
authors.lastname: Rocco
authors.affiliation: Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: vincenzosabatino@yahoo.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Sabatino
authors.affiliation: Department of General Surgery - ASL NA1, Cardinale Ascalesi Hospital, Naples, Italy. Electronic address: super_rbros@hotmail.com.
authors.forename: Corrado
authors.initials: C
authors.lastname: Rispoli
authors.affiliation: Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: albina.riccardi@unina.it.
authors.forename: Albina
authors.initials: A
authors.lastname: Riccardi
authors.affiliation: Breast Unit, A.O. IRCCS Arcispedale S.M.N, Via Risorgimento 80, 42120 Reggio Emilia, Italy. Electronic address: giuseppe.falco@asmn.re.it.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Falco
authors.affiliation: 5th Department of General Surgery, Second University of Naples, Naples, Italy. Electronic address: cm.pezzulo84@gmail.com.
authors.forename: Carmine
authors.initials: C
authors.lastname: Pezzulo
authors.affiliation: Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: federikkaromano@hotmail.it.
authors.forename: Federica
authors.initials: F
authors.lastname: Romano
authors.affiliation: Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: rita.compagna@libero.it.
authors.forename: Rita
authors.initials: R
authors.lastname: Compagna
authors.affiliation: Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: bramato@unina.it.
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.affiliation: Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: antonello.accurso@unina.it.
authors.forename: Antonello
authors.initials: A
authors.lastname: Accurso
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008327:Mammography; D008408:Mastectomy / Q000379:methods*; D015412:Mastectomy, Segmental; D008875:Middle Aged; D009367:Neoplasm Staging; D011300:Preoperative Care; D012680:Sensitivity and Specificity
keywords: Breast cancer; Breast magnetic resonance imaging; Mastectomy