scholarly journals Enhanced MRI and MRI-Guided Interventional Procedures in Women with Asymptomatic Silicone-Injected Breasts

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Yun-Chung Cheung ◽  
Shin-Chih Chen ◽  
Yung-Feng Lo
Keyword(s):  
Breast Cancer ◽  
Breast Augmentation ◽  
Interventional Procedures ◽  
Breast Mri ◽  
Silicone Injection ◽  
Enhanced Mri ◽  
Breast Sonography ◽  
Mri Guided ◽  
Asymptomatic Women ◽  
Suspicious Lesions

Asymptomatic women who have received silicone injection for breast augmentation have a risk of underestimating breast cancer by palpation, mammography, or breast sonography. Enhanced breast MRI is sensitive to display certain nonspecific enhanced lesions or suspicious lesions. Such nonspecific MRI-detected lesions could be managed by American College Radiology BI-RADS lexicon and selectively with MRI-guided techniques biopsy to prevent unnecessary surgery.

First experience with MRI-guided vacuum aspirated breast biopsy

2020 ◽  
pp. 25-31
Author(s):  
M. L. Mazo ◽  
O. E. Jacobs ◽  
O. S. Puchkova ◽  
M. V. Feldsherov ◽  
E. V. Kondratyev
Keyword(s):  
Breast Cancer ◽  
Breast Augmentation ◽  
Breast Biopsy ◽  
Breast Mri ◽  
Breast Tumors ◽  
High Tech ◽  
X Ray ◽  
Vacuum Aspiration ◽  
Mri Guided ◽  
Aesthetic Breast

The rate of detection of breast cancer by MRI, while other methods of radiological diagnosis are not sufficiently informative, ranges from 5.2 to 26.3 per cent. Suspicious breast tumors of category BI-RADS 4, 5 show morphological image-guided biopsy verification, in particular MRI with contrast. Purpose. To show the possibilities and features of carrying out MRI-guided vacuum breast biopsy, including after aesthetic breast augmentation. Material and methods. A comprehensive X-ray, ultrasound and MRI examination of 54 women aged between 28 and 70 years with different breast tumors was conducted. Of these, five were detected only by breast MRI with contrast, and were morphologically verified by MRI-guided vacuum aspiration biopsy. Results. 14 of the 54 patients with breast mass were diagnosed with breast cancer and 26 were diagnosed with benign diseases. The effectiveness of comprehensive examination and low-invasive high-tech MRI-guided procedures in early refined screening for breast cancer, including after aesthetic breast augmentation, has been demonstrated. MRI-guided vacuum-assisted breast biopsy is a fast, safe and accurate diagnostic method of morphological verification of suspicious breast tumors that do not have X-ray and ultrasound.

Diagnosis of breast cancer at dynamic MRI in patients with breast augmentation by paraffin or silicone injection

2009 ◽  
Vol 64 (12) ◽  
pp. 1175-1180 ◽  
Author(s):  
J.H. Youk ◽  
E.J. Son ◽  
E.-K. Kim ◽  
J.-A. Kim ◽  
M.J. Kim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Augmentation ◽  
Dynamic Mri ◽  
Silicone Injection

Sonographic features with histologic correlation in two cases of palpable breast cancer after breast augmentation by liquid silicone injection

2002 ◽  
Vol 30 (9) ◽  
pp. 548-551 ◽  
Author(s):  
Yun-Chung Cheung ◽  
Kam-Fai Lee ◽  
Shu-Hang Ng ◽  
Siu-Cheung Chan ◽  
Alex Mun-Ching Wong
Keyword(s):  
Breast Cancer ◽  
Breast Augmentation ◽  
Silicone Injection ◽  
Liquid Silicone ◽  
Palpable Breast

scholarly journals Hidden breast cancer after breast augmentation, not presenting as a hypoechoic mass lesion, diagnosed using colour Doppler ultrasound

2021 ◽  
Vol 14 (9) ◽  
pp. e242742
Author(s):  
Akihiro Fujimoto ◽  
Yoshimasa Kosaka ◽  
Takahiro Hasebe ◽  
Toshiaki Saeki
Keyword(s):  
Breast Cancer ◽  
Doppler Ultrasound ◽  
Breast Augmentation ◽  
Mass Lesion ◽  
Colour Doppler ◽  
Silicone Injection ◽  
Palpable Mass ◽  
Fdg Uptake ◽  
Colour Doppler Ultrasound ◽  
Hypoechoic Mass

The main concern after breast augmentation with silicone injection is that silicone granulomas make it difficult to detect breast cancer. A case of breast cancer was diagnosed using colour Doppler ultrasound (CD) to detect an non-palpable mass not presenting as a hypoechoic mass lesion. An 83-year-old woman was incidentally found to have a lesion in her right breast, which was injected with silicone, showing 18F-fluorodeoxyglucose (FDG) uptake; the lesion was suspected to be breast cancer or silicone granuloma. A mass at the FDG uptake site was not detected on ultrasonography (US); however, observation using CD revealed a slightly hypoechoic area with hypervascularity. Core needle biopsy showed invasive ductal carcinoma. Patients in whom US does not reveal lesions after breast augmentation with silicone injection should undergo CD to detect hypervascularised tissue. To prevent false-negative biopsy results, CD is essential to detect cancer at suspected sites.

scholarly journals Pathologic Findings in MRI-Guided Needle Core Biopsies of the Breast in Patients with Newly Diagnosed Breast Cancer

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
K. P. Siziopikou ◽  
P. Jokich ◽  
M. Cobleigh
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Early Stage ◽  
Benign Lesion ◽  
Breast Mri ◽  
Newly Diagnosed ◽  
Breast Cancer Patients ◽  
Mri Findings ◽  
Mri Guided ◽  
New Diagnosis

The role of MRI in the management of breast carcinoma is rapidly evolving from its initial use for specific indications only to a more widespread use on all women with newly diagnosed early stage breast cancer. However, there are many concerns that such widespread use is premature since detailed correlation of MRI findings with the underlying histopathology of the breast lesions is still evolving and clear evidence for improvements in management and overall prognosis of breast cancer patients evaluated by breast MRI after their initial cancer diagnosis is lacking. In this paper, we would like to bring attention to a benign lesion that is frequently present on MRI-guided breast biopsies performed on suspicious MRI findings in the affected breast of patients with a new diagnosis of breast carcinoma.

scholarly journals Diffusional kurtosis imaging for differentiation of additional suspicious lesions on preoperative breast MRI of patients with known breast cancer

2019 ◽  
Vol 62 ◽  
pp. 199-208
Author(s):  
Vivian Youngjean Park ◽  
Sungheon G. Kim ◽  
Eun-Kyung Kim ◽  
Hee Jung Moon ◽  
Jung Hyun Yoon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Mri ◽  
Diffusional Kurtosis Imaging ◽  
Preoperative Breast Mri ◽  
Suspicious Lesions

scholarly journals MRI-Guided Breast Biopsy-Histopathological Verification of Suspicious Breast Lesions Visible on MRI Only

2020 ◽  
Vol 7 (3) ◽  
Author(s):  
Heinze S ◽  
◽  
Rudnicki W ◽  
Popiela T ◽  
Luczynska E ◽  
...  
Keyword(s):  
Breast Biopsy ◽  
Histopathological Examination ◽  
Kinetic Curve ◽  
Breast Mri ◽  
Breast Lesions ◽  
Benign Lesions ◽  
Biopsy Site ◽  
Histopathology Result ◽  
Mri Guided ◽  
Suspicious Lesions

Background: Breast cancer is currently the most frequently diagnosed cancer in women. While the range of modalities enabling suspicious lesions detection is wide, MRI remains the most sensitive one. Therefore, the number of methods verifying the lesions seen only on MRI images grows. The aim of this study is to check the usefulness of MRI guided breast biopsy in clinical use. Methods: The study involved 120 patients who underwent diagnostic MRI before the biopsy that revealed suspicious lesions (BI-RADS 4 and 5). Those lesions had not been seen on initial ultrasonography or mammography. In each case, a marker was placed in the biopsy site and histopathological examination of the obtained samples was performed. Results: The study revealed benign lesions in 86 patients (71.7%). The remaining 34 lesions (28.3%) were determined as malignant, including 19 noninfiltrating (15.8%) and 15 infiltrating lesions (12.5%). Study showed correlation between kinetic curve type and lesion malignancy. Breast type, BPE and enhancement type did not have impact on the histopathology result. Conclusion: Breast MRI-guided biopsy is a reliable way to verify lesions not visible on any other diagnostic imaging methods and therefore should be developed.

Clinical outcome of preoperative breast MRI for early-stage breast cancer.

2012 ◽  
Vol 30 (27_suppl) ◽  
pp. 42-42
Author(s):  
Shadi E. Hamdan ◽  
Leslie A. Martin ◽  
Rajitha Sunkara
Keyword(s):  
Breast Cancer ◽  
Ductal Carcinoma ◽  
Early Stage ◽  
Breast Mri ◽  
Early Stage Breast Cancer ◽  
Favorable Effect ◽  
Pathological Findings ◽  
Preoperative Breast Mri ◽  
Definitive Surgery ◽  
Suspicious Lesions

42 Background: Preoperative breast magnetic resonance imaging MRI is used in clinical practice to improve oncologic outcome of breast cancer. Concerns over increased rate of unnecessary mastectomies and additional biopsies have been raised. The purpose of our study is to review the outcome of preoperative breast MRI at our institution. Methods: The current study is a retrospective review of 215 patients with early stage breast cancer who underwent definitive surgery. Breast MRI is being used at our institution within the context of multidisciplinary approach. Patients who had complete clinical, radiologic, and pathological data available were identified and formed the basis of this analysis. Results: 215 patients were diagnosed with breast cancer stage I-II in the period of 2006-2012 and had complete data for review. 92 patients out of 215 (43%) had breast MRI prior to definitive surgery. both groups were different in regard of age. Rate of breast conservative surgery, mastectomies, and re-excision for positive margins was similar in both groups. 6 patients out of 12 patients who had breast MRI and underwent bilateral mastectomies were found to have abnormal pathological findings (DCIS 3, LCIS 1, invasive ductal carcinoma 1, and focal epithelial atypia 1). Time from first diagnostic procedure to definitive surgery was similar in both groups (29 days vs. 27.5 days). 38 (41%) patients out of 92 who had breast MRI underwent additional breast biopsies for suspicious lesions with only 8 (21%) patients found to have abnormal pathological findings. Conclusions: Use of breast MRI prior to definitive surgery for early stage breast cancer was associated with increased rate of additional biopsies for suspicious lesions with no favorable effect on re-excision rate. [Table: see text]

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