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Int J Surg. 2014;12 Suppl 2:S44-S46. doi: 10.1016/j.ijsu.2014.08.383. Epub 2014 Aug 23.

Increase of mastectomy rates after preoperative MRI in women with breast cancer is not influenced by patients age.

Author information

1
Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: ga.dellacorte@gmail.com.
2
Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy. Electronic address: nicola.rocco@unimi.it.
3
Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: vincenzosabatino@yahoo.it.
4
Department of General Surgery - ASL NA1, Cardinale Ascalesi Hospital, Naples, Italy. Electronic address: super_rbros@hotmail.com.
5
Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: albina.riccardi@unina.it.
6
Breast Unit, A.O. IRCCS Arcispedale S.M.N, Via Risorgimento 80, 42120 Reggio Emilia, Italy. Electronic address: giuseppe.falco@asmn.re.it.
7
5th Department of General Surgery, Second University of Naples, Naples, Italy. Electronic address: cm.pezzulo84@gmail.com.
8
Department of Advanced Biomedical Sciences - Section of Imaging, University Federico II of Naples, Italy. Electronic address: federikkaromano@hotmail.it.
9
Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: rita.compagna@libero.it.
10
Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: bramato@unina.it.
11
Department of Gastroenterology, Endocrinology and Surgery, University Federico II of Naples, Naples, Italy. Electronic address: antonello.accurso@unina.it.

Abstract

Preoperative magnetic resonance imaging (MRI) is increasingly used for staging women with breast cancer, including screening for occult ipsilateral or contralateral cancer. If breast-conserving surgery is planned, a MRI examination should be performed in all ages women with suspected breast cancer, especially those exhibiting dense or heterogeneously dense breast parenchyma, for which the sensitivity of both ultrasonography and mammography is low. MRI staging causes more extensive breast surgery in a significative proportion of women by identifying additional cancer. If the ability to find additional occult cancer is the true value of MRI, this is not influenced by patients' ages. For this reason, preoperative MRI should be counseled to all women with breast cancer by clinicians, independently from the age, as the age alone does not preclude additional findings.

KEYWORDS:

Breast cancer; Breast magnetic resonance imaging; Mastectomy

PMID:
25159548
DOI:
10.1016/j.ijsu.2014.08.383
[Indexed for MEDLINE]
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