Open AccessMagnetic resonance imaging for invasive lobular carcinoma: is it worth it?
Author(s) -
Sarah Barker,
Eileen Anderson,
Russell Mullen
Publication year - 2019
Publication title -
gland surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.643
H-Index - 22
eISSN - 2227-8575
pISSN - 2227-684X
DOI - 10.21037/gs.2018.10.04
Subject(s) - medicine , magnetic resonance imaging , invasive lobular carcinoma , radiology , malignancy , breast mri , breast cancer , mammography , occult , mastectomy , retrospective cohort study , biopsy , breast conserving surgery , breast imaging , cancer , surgery , pathology , invasive ductal carcinoma , alternative medicine
Invasive lobular cancer (ILC) of the breast can provide diagnostic and therapeutic challenges due to its often mammographically occult and multifocal nature. UK guidelines recommend magnetic resonance imaging (MRI) when considering breast conserving surgery (BCS) in women with a diagnosis of ILC. A small number of studies have shown that due to its low specificity, MRI can lead to additional invasive investigations whilst rarely identifying additional tumour foci that affect management. We carried out a retrospective study of patients diagnosed with ILC to assess the impact of MRI on management and to evaluate if breast density on mammography could indicate likelihood of additional disease being found on MRI.