Breast magnetic resonance imaging for preoperative locoregional staging

被引：92

作者：

Hollingsworth, Alan B. ^{[1
]}

Stough, Rebecca G. ^{[2
]}

O'Dell, Carol A. ^{[2
]}

Brekke, Charles E. ^{[2
]}

机构：

[1] Mercy Hlth Ctr, Dept Surg, Oklahoma City, OK USA

[2] Mercy Womens Ctr, Mercy Hlth Ctr, Dept Radiol, Oklahoma City, OK USA

来源：

AMERICAN JOURNAL OF SURGERY | 2008年 / 196卷 / 03期

关键词：

breast cancer; breast MRI; preoperative staging; multicentricity; contralateral; breast conservation; therapeutic options;

D O I：

10.1016/j.amjsurg.2007.10.009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: Breast magnetic resonance imaging (MRI) has been recommended increasingly in the preoperative setting for patients newly diagnosed with malignancy to evaluate tumor extent, multicentricity, and contralateral disease. METHODS: Results of conventional imaging, breast MRI, and pathology were analyzed from 603 consecutive breast cancer patients who underwent MRI preoperatively. The focus of this retrospective study was imaging-histologic correlation. RESULTS: Reoperation for positive margins after lumpectomy occurred in 8.8% of patients. Multicentricity was identified by MRI alone in 7.7% of patients, whereas 3.7% were found to have contralateral cancer by MRI. The sensitivity of MRI was 93% in detecting multicentric disease and 88% for contralateral disease, whereas sensitivity for conventional imaging was 46% and 19%, respectively. Unsuspected disease was identified by MRI equally for invasive ductal and ductal carcinoma in situ histology, whereas multicentricity was found more frequently with invasive lobular carcinoma. CONCLUSIONS: Breast MRI is recommended for preoperative evaluation of the newly diagnosed breast cancer patient. (c) 2008 Elsevier Inc. All rights reserved.

引用

页码：389 / 397

页数：9

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