Role of Magnetic Resonance Imaging in Detection of Subtle Masses in Women with Breast Cancer
محل انتشار: مجله سرطان خاورمیانه، دوره: 5، شماره: 1
سال انتشار: 1393
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 39
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شناسه ملی سند علمی:
JR_MISJ-5-1_001
تاریخ نمایه سازی: 25 آبان 1402
چکیده مقاله:
Background: Magnetic resonance imaging of the breast is becoming a useful adjunct to mammography and sonography for the detection of breast lesions. However, it is not yet accepted as a routine examination for all breast cancer patients due to the lack of data regarding whether breast magnetic resonance imaging impacts recurrence or survival. This trial examines the use of magnetic resonance imaging for detection of additional lesions in patients with dense breasts and its effect on surgical treatment.Methods: Between November ۲۰۱۱ and November ۲۰۱۲, ۵۱ patients with a confirmed diagnosis of breast cancer and dense breasts underwent bilateral breast magnetic resonance imaging. Cases were reviewed to determine if the breast magnetic resonance imaging detected additional masses, changed the preoperative clinical staging, the operation plan, or prompted additional testing.Results:Magnetic resonance imaging detected ۳۷ additional masses in ۱۹ patients that were not detected by mammography. Cancer occult to mammography was detected by magnetic resonance imaging in one woman. Breast magnetic resonance imaging upstaged the cancer in ۷ (۱۳.۷۲%) out of ۵۱ patients. Magnetic resonance imaging impacted surgical treatment in ۴(۷.۸۴%) out of ۵۱ patients.Conclusions: Magnetic resonance imaging is effective in the identification of additional masses in dense breasts that are not visualized on mammography. Of the ۵۱ patients, ۴ (۷.۸۴%) who underwent magnetic resonance imaging altered their surgical management due to the magnetic resonance imaging findings. Further studies should be undertaken to show that breast magnetic resonance imaging can change local recurrence and survival.
نویسندگان
Sedigheh Tahmasebi
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran
Mohammad Hasan Hashemizadeh
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran
Abdolrasoul Talei
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran
Sepideh Sefidbakht
Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran
Maral Mokhtari
Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
Abdolkhalegh Keshavarzi
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran
Sam Moslemi
General Surgery Department, Shiraz University of Medical Sciences, Shiraz, Iran