Sentis M, Gallardo X, Castaner E, Bonfill X, Marzo M; International Society of Technology Assessment in Health Care. Meeting.
Annu Meet Int Soc Technol Assess Health Care Int Soc Technol Assess Health Care Meet. 1997; 13: 103.
SDI-UDIAT, Consorci Hospitalari Parc Tauli. Sabadell, Barcelona, Spain.
OBJECTIVES: To retrospectively assess how to clinical decision making was modified by MRI when studying breast malignant lesions. MATERIAL AND METHODS: 158 patient diagnosed with breast cancer were studies between January 1993 and December 1995 with a 1.0 T filled strength MRI unit, either to characterize or to stage the mammographically detected lesions previously to their treatment. MRI findings of bilateraly, multicentricity and regional extension were considered as influencing factors in the choice of primary treatment offeret to the patients. RESULT: Bilateral foci, initially not suspected on mammography were found in 6 patients (3.8%), which permitted surgical removal of lesions otherwise overlooked. Multicentricity in the same breast, confirmed as a second neoplastic foci, was detected in 19 patients (12.03%), which amplified the planned surgical procedure. In 9 patients (5.7%) with positive cytology for axillary lymph nodes as unique finding, MRI was able to depict the primary lesion and conservative treatment could be considered. Intraductal extensions was shown in 5 patients (3.16%). In 1 patient (0.63%) enlarged nodes in the internal mammary chain were discovered by MRI, which justified a more intensive chemotherapy schedule. Overall, the findings in MRI gave additional information and had a direct influence on the selection of therapeutic choices in 39 patient (25.32%). CONCLUSIONS: In patients with breast cancer lesions a real clinical benefit can be obtained by the use of dynamic breast MRI in order to more accurately assess the stage of the disease and to more precisely define therapeutic alternatives.
Publication Types:
Keywords:
- Axilla
- Breast Neoplasms
- Carcinoma
- Carcinoma, Intraductal, Noninfiltrating
- Carcinoma, Lobular
- Humans
- Lymph Nodes
- Magnetic Resonance Imaging
- Mammography
- Neoplasm Staging
- methods
- radiography
- hsrmtgs
Other ID:
UI: 102233169
From Meeting Abstracts