The influence of preoperative MRI in early breast cancer: gold standard

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Published: Mar 1, 2020
Keywords:
Breast cancer, BI-RADS, Histological diagnosis, Mammography MRI

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Daniela Messineo
Department of Radiological Sciences, Oncology and Pathology, “La Sapienza” University of Rome, Italy
Luciano Izzo
Department of General Surgery “Pietro Valdoni”, “La Sapienza” University of Rome, Italy
Massimo Codacci Pisanelli
Department of General Surgery “Pietro Valdoni”, “La Sapienza” University of Rome, Italy
Francesco Razionale
Department of General Surgery “Pietro Valdoni”, “La Sapienza” University of Rome, Italy
Sara Izzo
Multidisciplinary Department of Medical-Surgery and Dental Specialities Plastic Surgery Units, University “Luigi Vanvitelli”, Naples, Italy
Paolo Izzo
Department of General Surgery “Pietro Valdoni”, “La Sapienza” University of Rome, Italy

Abstract

BACKGROUND: Aim of this study was to evaluate the impact of presurgical breast MRI on the surgical management of selected patients with early-stage breast cancer, who were candidates for BCT.


MATERIALS AND METHODS: The trial was built up according to the major European Breast Society. In additional foci classified as BI-RADS 3-4 (4a, 4b, and 4c), a targeted second-look US study was performed.


RESULTS: A total of 123 patients underwent presurgical breast MRI. Therapeutic strategy established based on MRI was appropriate in 83.8% of cases. Analysis carried out on the subgroup of patients with dense breast showed that additional foci were found in 41.9% and a greater local extension of the index lesion in 6.4%.


CONCLUSION: The results obtained in the subgroup of patients with high breast density suggest the importance of a sensitive tool such as MRI in the local staging of breast cancer before treatment planning.

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How to Cite
Messineo, Daniela, et al. “The Influence of Preoperative MRI in Early Breast Cancer: Gold Standard”. Annali Italiani Di Chirurgia, vol. 91, no. 2, Mar. 2020, pp. 144-53, https://annaliitalianidichirurgia.it/index.php/aic/article/view/1429.
Issue
Vol. 91 No. 2 (2020)
Section
Article