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Preoperative MRI in...
Preoperative MRI in women with newly diagnosed breast cancer: re-excision rates and additional findings
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- Eriksson, Jonathan (författare)
- Linköpings Universitetssjukhus
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- Gonzalez, Virginia (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Centrum för klinisk forskning, Västerås
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- Laxander, Karolina (författare)
- Bröstradiolgiska kliniken, Västmanlands Sjukhus Västerås
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- Bergkvist, Leif (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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- Eriksson, Staffan (författare)
- Uppsala universitet,Centrum för klinisk forskning, Västerås
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(creator_code:org_t)
- Engelska.
- Relaterad länk:
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https://urn.kb.se/re...
Abstract
Ämnesord
Stäng
- AbstractBackground: Preoperative breast magnetic resonance imaging (MRI) is still controversial as an adjunct to conventional breast cancer workup in terms of the effect on re-excision rates. Our objective was to analyse whether the introduction of preoperative breast MRI influences the rate of re-excisions in women with newly diagnosed breast cancer and to study the additional ipsi- and contralateral MRI findings and their impact on surgical management.Methods: Women with newly diagnosed breast cancer having preoperative MRI and surgery at Vastmanland County Hospital Breast Unit from January–June 2018 (n = 84) were compared with women not undergoing preoperative MRI from January–June 2016 (n = 97). Data were collected from retrospective reviews of patients’ medical records.Results: The re-excision rate was one of 84 (1.2%) in 2018 and three of 97 (3.1%) in 2016. There was no statistically significant difference in re-excision rates between the two study periods. In the MRI cohort, seven patients of 84 (8%) had malignancy in the ipsilateral and two (2%) in the contralateral breast not previously detected by conventional imaging. Additional malignant findings were more common in women of age < 59 years, and more often resulted in mastectomy.Conclusions: Preoperative breast MRI in women with newly diagnosed breast cancer did not reduce the number of re-excisions. Additional malignant findings were more common in women younger than 59 years and influenced surgical management. MRI resulted in no delay of surgery.
Nyckelord
- Breast cancer
- MRI
- re-excisio
- Oncology
- Onkologi
- Kirurgi
- Surgery
- Radiology
- Radiologi
Publikations- och innehållstyp
- vet (ämneskategori)
- ovr (ämneskategori)