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Preoperative breast MR Imaging in patients with primary breast cancer has the potential to decrease the rate of
H Preibsch1, G Blumenstock2, E Oberlechner3
1University Department of Radiology, Diagnostic and Interventional Radiology, Hoppe-Seyler-Str. 3, 72076, Tuebingen, Germany.
European Journal of Radiology
|July 18, 2017
Summary
Preoperative breast MRI can decrease the need for repeat surgeries in primary breast cancer patients. However, it does not impact the overall mastectomy rate, offering a potential benefit for surgical planning.
Area of Science:
- Oncology
- Radiology
- Surgical Oncology
Background:
- The role of preoperative Magnetic Resonance Imaging (MRI) in breast cancer management regarding re-excision and mastectomy rates remains a subject of debate.
- Evaluating the influence of preoperative MRI on surgical outcomes is crucial for optimizing patient care.
Purpose of the Study:
- To assess the impact of preoperative breast MRI on surgical procedures and the rate of repeat surgeries in primary breast cancer.
- To compare surgical plans and re-operation rates between patients who underwent preoperative MRI and those who did not.
Main Methods:
- Retrospective analysis of 991 patients with 1036 primary breast cancers diagnosed between 2009 and 2010.
- Comparison of planned surgical procedures and re-operation rates in 626 patients who received preoperative MRI (MR+) versus those who did not (MR-).
Main Results:
- Preoperative MRI altered the surgical procedure in 25% of cases, predominantly by identifying and enabling removal of occult carcinomas.
- Mastectomy rates were similar in both groups (39%).
- Patients in the MR+ group showed a statistically significant lower likelihood of requiring repeated surgery.
Conclusions:
- Preoperative MRI may reduce the incidence of repeat surgeries for primary breast cancer patients.
- The use of preoperative MRI does not appear to influence the rate of mastectomy.
