Magnetic resonance imaging in the preoperative setting for breast cancer patients with undetected additional disease
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- 作者：Israel Barcoa ; Carolina Chabrerab ; Antonio Garcí ; a-Ferná ; ndez ; MD ; PhDa ; b ; c ; d ; e ; f ; g ; h ; i ; j ; k ; drgarciafdez@hotmail.com" class="auth_mail" title="E-mail the corresponding author (emeritus) ; Manel Frailec ; MCarmen Vidald ; Sonia Gonzá ; leze ; Jose Marí ; a Lainf ; Assumpta Reñ ; é ; g ; Lidia Canalesg ; Elena Vallejoa ; Jordi Deua ; Antoni Pessarrodonah ; Nuria Gimé ; nezi ; j ; Marc Garcí ; a-Fontk
- 关键词：Breast cancer ; Additional foci ; Sensitivity and specificity ; Magnetic resonance imaging
- 刊名：European Journal of Radiology
- 出版年：2016
- 出版时间：October 2016
- 年：2016
- 卷：85
- 期：10
- 页码：1786-1793
- 全文大小：981 K
文摘
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Preoperative MRI displays additional disease in 10.4% of cases in patients with infiltrating ductal carcinoma.
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In cases with a complex intraductal-associated component, MRI is helpful in managing the surgical approach, and can potentially reduce reoperation rates.
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Preoperative MRI showed a 91.9% agreement with the final histology, but core-needle biopsy cannot be rejected, so as to limit unnecessary surgery.
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When MRI shows additional disease, there is often a change in the initial surgical plan.
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Evolving surgery techniques, such as oncoplastic procedures, can be safely performed as an alternative to mastectomy in some patients.