scholarly journals “Harms” Associated with Breast Cancer Screening and Reliability of Frozen Section in Older Women: In the Case of an 80 Year Old Woman

Reports ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. 15
Author(s):  
Evangelia Antoniou ◽  
Stefanos Zervoudis ◽  
Andriani Vouxinou ◽  
Anastasia Bothou ◽  
Anisa Markja ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Cancer Screening ◽  
Magnetic Resonance ◽  
Breast Cancer Screening ◽  
Frozen Section ◽  
Histologic Examination ◽  
Radial Scar ◽  
Imaging Findings ◽  
Resonance Imaging

The objective of this paper is to present a rare case with negative final histologic examination despite abnormal findings of all previous exams indicating breast cancer in an 80 year old woman. Mammographic and magnetic resonance imaging findings were concordant with the frozen section biopsy result of DCIS. However, the final histologic diagnosis was radial scar (benign breast lesion that can radiologically mimic malignancy). As a conclusion, abnormal mammographic and magnetic resonance imaging findings with positive for DCIS frozen section reports are not always confirmed in the final histologic examination. Furthermore, considering that screening does not seem to be associated with a reduction in mortality due to breast cancer after the age of 75, breast cancer screening could be individualized in this age group.

Efficacy of Magnetic Resonance Imaging and Mammography for Breast Cancer Screening in Women With a Familial or Genetic Predisposition

2005 ◽  
Vol 60 (2) ◽  
pp. 107-109 ◽  
Author(s):  
Mieke Kriege ◽  
Cecile T. M. Brekelmans ◽  
Carla Boetes ◽  
Peter E. Besnard ◽  
Harmine M. Zonderland ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Cancer Screening ◽  
Magnetic Resonance ◽  
Breast Cancer Screening ◽  
Genetic Predisposition ◽  
Resonance Imaging

Abbreviated Magnetic Resonance Imaging (MRI) for Breast Cancer Screening: Rationale, Concept, and Transfer to Clinical Practice

2019 ◽  
Vol 70 (1) ◽  
pp. 501-519 ◽  
Author(s):  
Christiane K. Kuhl
Keyword(s):  
Breast Cancer ◽  
Magnetic Resonance Imaging ◽  
Cancer Screening ◽  
Magnetic Resonance ◽  
Breast Cancer Screening ◽  
Breast Cancer Mortality ◽  
Mammographic Screening ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Sensitivity Profile

Given the increasing understanding of cancer as a heterogeneous group of diseases, detection methods should offer a sensitivity profile that ensures perfect sensitivity for biologically important cancers while screening out self-limiting pseudocancers. However, mammographic screening is biased toward detection of ductal carcinoma in situ and slowly growing cancers—and thus frequently fails to detect biologically aggressive cancers. This explains the persistently high rates of interval cancers and high rates of breast cancer mortality observed in spite of decades of mammographic screening. Magnetic resonance imaging (MRI), in contrast, has a sensitivity profile that matches clinical needs. Conventional MRI is not suitable for population-wide screening due to high cost, limited tolerability, and lack of availability. We introduced abbreviated MRI in 2014. Abbreviated MRI will change the way MRI is used in clinical medicine. This article describes the rationale to use MRI in general, and abbreviated MRI in particular, for breast cancer screening.

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