Variability of Preoperative Breast MRI Utilization among Older Women with Newly Diagnosed Early-stage Breast Cancer

2013 ◽  
Vol 19 (6) ◽  
pp. 627-636 ◽  
Author(s):  
Shi-Yi Wang ◽  
Beth A. Virnig ◽  
Todd M. Tuttle ◽  
David R. Jacobs ◽  
Karen M. Kuntz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Older Women ◽  
Early Stage ◽  
Breast Mri ◽  
Early Stage Breast Cancer ◽  
Newly Diagnosed ◽  
Preoperative Breast Mri

Outcomes after Surgery for Early Stage Breast Cancer in Women Staged With Preoperative Breast Magnetic Resonance Imaging According to Breast Tissue Density

2019 ◽  
Vol 1 (2) ◽  
pp. 115-121
Author(s):  
Renata Faermann ◽  
Jonathan Weidenfeld ◽  
Leonid Chepelev ◽  
Wayne Kendal ◽  
Raman Verma ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Tissue ◽  
Early Stage ◽  
Disease Free Survival ◽  
Breast Mri ◽  
Early Stage Breast Cancer ◽  
Free Survival ◽  
Tissue Density ◽  
Breast Tissue Density ◽  
Preoperative Breast Mri

Abstract Purpose To determine surgical outcomes and breast cancer disease-free survival outcomes of women with early stage breast cancer with and without use of preoperative breast MRI according to breast tissue density. Methods Women with early stage breast cancer diagnosed from 2004 to 2009 were classified into 2 groups: 1) those with dense and heterogeneously dense breasts (DB); 2) those with nondense breasts (NDB) (scattered fibroglandular and fatty replaced tissue). The 2 groups were reviewed to determine who underwent preoperative MRI. Breast tissue density was determined with mammography according to ACR BI-RADS. Patients were compared according to tumor size, grade, stage, and treatment. Survival analysis was performed using Kaplan-Meier estimates. Results In total, 261 patients with mean follow-up of 85 months (25–133) were included: 156 DB and 105 NDB. Disease-free survival outcomes were better in the DB group in patients with MRI than in those without MRI: patients with MRI had significantly fewer local recurrences (P < 0.016) and metachronous contralateral breast cancers (P < 0.001), but this was not the case in the NDB group. Mastectomies were higher in the DB group with preoperative MRI than in those without MRI (P < 0.01), as it was in the NDB group (P > 0.05). Conclusions Preoperative breast MRI was associated with reduced local recurrence and metachronous contralateral cancers in the DB group, but not in the NDB group; however, the DB patients with MRI had higher mastectomy rates.

Preoperative Breast MRI for Early-Stage Breast Cancer: Effect on Surgical and Long-Term Outcomes

2014 ◽  
Vol 202 (6) ◽  
pp. 1376-1382 ◽  
Author(s):  
Janice S. Sung ◽  
Jie Li ◽  
Glenys Da Costa ◽  
Sujata Patil ◽  
Kimberly J. Van Zee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Early Stage ◽  
Breast Mri ◽  
Early Stage Breast Cancer ◽  
Long Term Outcomes ◽  
Preoperative Breast Mri

Preoperative breast MRI in early-stage breast cancer

2012 ◽  
Vol 135 (3) ◽  
pp. 907-912 ◽  
Author(s):  
Patricia Young ◽  
Benjamin Kim ◽  
Jennifer L. Malin
Keyword(s):  
Breast Cancer ◽  
Early Stage ◽  
Breast Mri ◽  
Early Stage Breast Cancer ◽  
Preoperative Breast Mri

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]

Parity Confers Better Prognosis in Older Women with Early-Stage Breast Cancer Treated with Breast-Conserving Therapy

2004 ◽  
Vol 5 (3) ◽  
pp. 225-231 ◽  
Author(s):  
Penny R. Anderson ◽  
Alexandra L. Hanlon ◽  
Gary M. Freedman ◽  
Nicos Nicolaou
Keyword(s):  
Breast Cancer ◽  
Older Women ◽  
Early Stage ◽  
Breast Conserving Therapy ◽  
Early Stage Breast Cancer

Decisional Support throughout the Cancer Journey for Older Women Diagnosed with Early Stage Breast Cancer: A Single Institutional Study

2013 ◽  
Vol 29 (1) ◽  
pp. 129-135 ◽  
Author(s):  
Roseanna Presutti ◽  
Laura D’Alimonte ◽  
Merrylee McGuffin ◽  
Hanbert Chen ◽  
Edward Chow ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Older Women ◽  
Early Stage ◽  
Early Stage Breast Cancer
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