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Does a Supplementary Preoperative Breast MRI in Patients with Invasive Lobular Breast Cancer Change Primary and Secondary Surgical Interventions?

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

We evaluated whether a supplementary preoperative breast MRI in patients with invasive lobular breast cancer (ILC) has changed number and methods of primary and number of secondary surgical interventions.

Materials and Methods

This was a retrospective controlled single-center analysis of 178 ILC patients. The 2 study groups consisted of 92 patients with breast MRI (MRI group) and of 86 patients without breast MRI (non-MRI group). We investigated the primary and final surgical procedures and factors that influenced the number of secondary surgical interventions.

Results

A total of 40 primary mastectomies (38%) have been performed in the MRI group, compared with 27 (30%) in the non-MRI group (P = .119).There have been more bilateral surgical interventions in the MRI group (14 vs 3 patients; P = .002). The 2 groups did not differ with respect to secondary surgery rates (P = .429). The MRI and non-MRI group were significantly different with respect to age and breast density (P = .003 and P = .002). Yet, both variables seemed not to influence secondary surgery rates (P = .516 and P = .788, respectively).

Conclusions

The implementation of preoperative breast MRI tended to result in more primary mastectomies and bilateral surgeries and did not seem to decrease the secondary surgery rate.

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Conflict of interest

There are no conflicts of interests (e.g. employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registrations, and grants or other funding) by any of the authors.

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Authors and Affiliations

  1. University Breast Center Heidelberg, Heidelberg, Germany

    Joerg Heil MD, Anne Bühler, Michael Golatta MD, Joachim Rom MD, Aba Harcos MD, Hans Junkermann MD & Christof Sohn MD

  2. Department of Radiology, Breast Unit, Heidelberg University Hospital, Heidelberg, Germany

    Anne Schipp MD

  3. Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany

    Geraldine Rauch PhD

Authors
  1. Joerg Heil MD
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  2. Anne Bühler
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  3. Michael Golatta MD
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  4. Joachim Rom MD
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  6. Anne Schipp MD
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  8. Hans Junkermann MD
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  9. Christof Sohn MD
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Correspondence to Joerg Heil MD.

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Heil, J., Bühler, A., Golatta, M. et al. Does a Supplementary Preoperative Breast MRI in Patients with Invasive Lobular Breast Cancer Change Primary and Secondary Surgical Interventions?. Ann Surg Oncol 18, 2143–2149 (2011). https://doi.org/10.1245/s10434-011-1565-y

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  • DOI: https://doi.org/10.1245/s10434-011-1565-y

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