The impact of preoperative MRI on breast-conserving surgery of invasive cancer: a comparative cohort study

The impact of preoperative breast MRI on the re-excision rate in invasive lobular carcinoma of the breast

“…Since tumor sizes were not different between groups, nor was the rate of multifocality, patients who were unlikely to undergo BCS based on psychological factors, were apparently also less likely to undergo preoperative MRI. We believe this also explains the slight age difference between groups that is also observed in other studies [38,42].…”

“…In a recent study by Pengel et al [38], a similar reduced rate of re-excisions due to preoperative breast MRI was shown in a subgroup of patients with IDC. A reduction in the re-excision rate in ILC was not observed but far fewer patients with ILC were included and both focal and extensive involvement of resection margins were regarded as unsuccessful surgery.…”

Additional findings at preoperative MRI: a simple golden rule for a complex problem?

“…This is true also for other retrospective studies which reported results in favor [7] or partially in favor [8] of preoperative MRI as well as for retrospective studies which reported results against [9][10][11] preoperative MRI. Two interesting small studies from a Japanese group showed important advantages of a surgical approach precisely tailored on the basis of preoperative MRI performed in supine surgical position.…”

A practical approach to manage additional lesions at preoperative breast MRI in patients eligible for breast conserving therapy: results

“…In our hospital, prospective directives were established to handle additional findings in the breast detected at MRI [15,35]. The aim of this study was twofold.…”

“…Directives for management of additional lesions at MRI Directives were established to handle additional lesions detected at MRI, aiming to minimize additional procedures and treatment changes due to benign findings [15,35]. In short, attempts were made to obtain proof of malignancy for multicentric and contralateral additional lesions by second-look targeted ultrasound and FNA or core biopsy.…”