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Breast MRI in DCIS size estimation, breast-conserving surgery and oncoplastic breast surgery.
- Source :
-
Cancer treatment reviews [Cancer Treat Rev] 2021 Mar; Vol. 94, pp. 102158. Date of Electronic Publication: 2021 Feb 02. - Publication Year :
- 2021
-
Abstract
- The impact of MRI on improving surgical outcomes in DCIS is debated. Here, we explore the utility of MRI in the investigation and management of DCIS in three key areas. Firstly, we highlight that MRI is likely to be a more accurate predictor of actual tumour size than conventional imaging. Secondly, we examine mastectomy rates and reoperation rates across the literature and suggest that surgical outcomes do not differ between pre-operative MRI and conventional imaging groups, despite improved size estimation on MRI. Finally, we examine the rapidly developing field of oncoplastic breast surgery and highlight a paucity of data in determining the usefulness of pre-operative MRI in this field, despite this being an oncologically safe alternative with improved patient outcomes and satisfaction.<br /> (Crown Copyright © 2021. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Female
Humans
Magnetic Resonance Imaging
Mastectomy statistics & numerical data
Mastectomy, Segmental statistics & numerical data
Reoperation statistics & numerical data
Retrospective Studies
Treatment Outcome
Breast Neoplasms diagnostic imaging
Breast Neoplasms surgery
Carcinoma, Ductal, Breast diagnostic imaging
Carcinoma, Ductal, Breast surgery
Carcinoma, Intraductal, Noninfiltrating diagnostic imaging
Carcinoma, Intraductal, Noninfiltrating surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1532-1967
- Volume :
- 94
- Database :
- MEDLINE
- Journal :
- Cancer treatment reviews
- Publication Type :
- Academic Journal
- Accession number :
- 33610127
- Full Text :
- https://doi.org/10.1016/j.ctrv.2021.102158