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Do you recommend breast MRI for patients with invasive lobular breast cancer considering breast conservation therapy?

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Mednet Member
Mednet Member
Radiation Oncology · St. Luke’s Cancer Center

I agree with @Dr. First Last. I used to get MRIs in women with lobular cancers routinely, but as data have shown no outcome benefit to pre-op MRI and a higher mastectomy rate associated with the use of MRI, I now only get MRIs in patients in whom the surgeon feels that the other imaging is too equiv...

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Mednet Member
Mednet Member
Radiation Oncology · Duke University Medical Center

No. Despite the tendency for multifocaility in lobular carcinoma, there is no evidence that MRI improves the outcome when such pts are treated with BCT ( lumpectomy + RT). Older series indicate equivalent outcomes for lobular ca compared with other histologies. The possible explanations for this are...

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