The Value of Magnetic Resonance Imaging For Staging and Planning Breast-Conserving Surgery

Özet

Introduction: This study aimed to evaluate the effect of breast magnetic resonance imaging (MRI) on staging and surgical planning. Methods: Ninety-two females with breast cancer were enrolled in the study. We prospectively evaluated the contribution of MRI compared to mammography (MMG) and ultrasonography (USG) and impact of MRI on surgical treatment and histopathological concordance. Results: Contribution of breast MRI to the workup and management of breast cancer in our institute was meaningful by upstaging the cases in 23/92 (25%) of the patients and suggesting a change in surgical plan in 21/92 (23%) of the patients. Surgical staging with breast MRI results correlated with the final pathological staging in 18/21 (85%) patients who had a change in surgical plan. Discussion and Conclusion: The primary therapy modality of early breast cancer is surgery. The overall tumor size, the relationship between tumor size and breast size, tumor localization, tumor stage, and histopathological findings help to shape surgical management. MRI was better than conventional diagnostic techniques in determining correct tumor diameter and in detecting non-invasive cancer areas. Consequently preoperative breast MRI is an important adjunct to conventional imaging (USG and MMG) in the staging of breast cancer and a useful tool in treatment planning.