Tags

Type your tag names separated by a space and hit enter

Impact of preoperative breast MRIs on timing of surgery and type of intervention in newly diagnosed breast cancer patients.
Ann Surg Oncol. 2010 Oct; 17 Suppl 3:273-9.AS

Abstract

BACKGROUND

We sought to evaluate the effect of preoperative breast magnetic resonance imaging (BMRI) on the wait time to surgery and to what extent it affects the surgical management plan initially considered.

METHODS

From April 2007 to April 2009, a total of 147 newly diagnosed breast cancer patients who underwent surgery as initial treatment at Marvelle Koffler Breast Centre at Mount Sinai Hospital, Toronto, Ontario, Canada, met the inclusion criteria and were divided into two groups: those who had BMRI (n =71) and those who did not (n = 76). Time to surgery was calculated from the day core biopsy result was available to the date surgery was carried out. Time span between initial surgical consult and the day of the surgery day was also calculated. Change was defined as conversion from conservative to radical surgery and/or unilateral to bilateral procedures.

RESULTS

Overall waiting period between histologic diagnosis and treatment was 34.2 days (BMRI group 36.0 days vs. non-BMRI group 32.3 days, P =0.15); and between date surgical management was propose and date of surgery (BMRI group 24.2 days vs. non-BMRI group 22.5 days, P =0.38). Additional workup resulted in seven otherwise occult malignant lesions that required change. Ten percent of patients who underwent BMRI had change in surgical management. The mastectomy rate was higher among those with preoperative BMRI (initial 12% vs. final 26%, P =0.8), but this was not statistically significant.

CONCLUSIONS

Preoperative BMRI did not delay surgical treatment or correlate with a higher rate of radical treatment.

Authors+Show Affiliations

Division of Experimental Therapeutics, Toronto General Research Institute, Toronto, ON, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20853046

Citation

Angarita, Fernando A., et al. "Impact of Preoperative Breast MRIs On Timing of Surgery and Type of Intervention in Newly Diagnosed Breast Cancer Patients." Annals of Surgical Oncology, vol. 17 Suppl 3, 2010, pp. 273-9.
Angarita FA, Acuna SA, Fonseca A, et al. Impact of preoperative breast MRIs on timing of surgery and type of intervention in newly diagnosed breast cancer patients. Ann Surg Oncol. 2010;17 Suppl 3:273-9.
Angarita, F. A., Acuna, S. A., Fonseca, A., Crystal, P., & Escallon, J. (2010). Impact of preoperative breast MRIs on timing of surgery and type of intervention in newly diagnosed breast cancer patients. Annals of Surgical Oncology, 17 Suppl 3, 273-9. https://doi.org/10.1245/s10434-010-1239-1
Angarita FA, et al. Impact of Preoperative Breast MRIs On Timing of Surgery and Type of Intervention in Newly Diagnosed Breast Cancer Patients. Ann Surg Oncol. 2010;17 Suppl 3:273-9. PubMed PMID: 20853046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Impact of preoperative breast MRIs on timing of surgery and type of intervention in newly diagnosed breast cancer patients. AU - Angarita,Fernando A, AU - Acuna,Sergio A, AU - Fonseca,Adriana, AU - Crystal,Pavel, AU - Escallon,Jaime, Y1 - 2010/09/19/ PY - 2010/04/26/received PY - 2010/9/21/entrez PY - 2010/10/1/pubmed PY - 2011/1/12/medline SP - 273 EP - 9 JF - Annals of surgical oncology JO - Ann Surg Oncol VL - 17 Suppl 3 N2 - BACKGROUND: We sought to evaluate the effect of preoperative breast magnetic resonance imaging (BMRI) on the wait time to surgery and to what extent it affects the surgical management plan initially considered. METHODS: From April 2007 to April 2009, a total of 147 newly diagnosed breast cancer patients who underwent surgery as initial treatment at Marvelle Koffler Breast Centre at Mount Sinai Hospital, Toronto, Ontario, Canada, met the inclusion criteria and were divided into two groups: those who had BMRI (n =71) and those who did not (n = 76). Time to surgery was calculated from the day core biopsy result was available to the date surgery was carried out. Time span between initial surgical consult and the day of the surgery day was also calculated. Change was defined as conversion from conservative to radical surgery and/or unilateral to bilateral procedures. RESULTS: Overall waiting period between histologic diagnosis and treatment was 34.2 days (BMRI group 36.0 days vs. non-BMRI group 32.3 days, P =0.15); and between date surgical management was propose and date of surgery (BMRI group 24.2 days vs. non-BMRI group 22.5 days, P =0.38). Additional workup resulted in seven otherwise occult malignant lesions that required change. Ten percent of patients who underwent BMRI had change in surgical management. The mastectomy rate was higher among those with preoperative BMRI (initial 12% vs. final 26%, P =0.8), but this was not statistically significant. CONCLUSIONS: Preoperative BMRI did not delay surgical treatment or correlate with a higher rate of radical treatment. SN - 1534-4681 UR - https://www.unboundmedicine.com/medline/citation/20853046/Impact_of_preoperative_breast_MRIs_on_timing_of_surgery_and_type_of_intervention_in_newly_diagnosed_breast_cancer_patients_ L2 - https://dx.doi.org/10.1245/s10434-010-1239-1 DB - PRIME DP - Unbound Medicine ER -