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KMID : 0858520080120020161
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Journal of the Korean Society of Magnetic Resonance in Medicine
2008 Volume.12 No. 2 p.161 ~ p.169
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Usefulness of Preoperative Breast MRI in Breast Cancer Diagnosed After Excisional Biopsy
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Whi Jung-Hyun
Cha Eun-Suk
Kim Sung-Hun
Jeong Na-Young
Choi Jae-Jung
Kang Bong-Joo
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Abstract
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Purpose : The aim of this study was to evaluate the usefulness of MRI performed after excisional biopsy to diagnose residual cancer and additional lesions.
Materials and Methods : A total of 16 patients who had breast cancer diagnosed by excisional biopsy underwent preoperative breast MRI between March 2005 and August 2007 were included. MRI findings were considered positive for residual cancer if focal, thick, or irregular rim enhancement or adjacent enhancing lesion was identified around the postoperative biopsy cavity. And additional lesions separated from biopsy cavity including multifocal, multicentric, or contralateral lesion were evaluated. We evaluated the diagnostic accuracy of MRI, comparing MRI with histopathologic finding, and the impact of MRI on surgical planning.
Results : The sensitivity and specificity of MRI for detecting residual disease considering rim enhancement were 85.7%(6/7) and 55.6%(5/9). Additional lesions including multifocal, multicentric, or contralateral lesion were found in 6 patients. In 7 patients, results of MRI findings changed surgical treatment planning.
Conclusion : The pattern of rim enhancement on MRI after excisional biopsy is not differential point to evaluate remnant lesion. But MRI has an important role to help the detection of multifocal or multicentric, or contralateral breast malignancies, resulting in beneficial change in surgical treatment planning.
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KEYWORD
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Breast neoplasm, Magnetic resonance (MR), Biopsy
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