When do you recommend a breast MRI for breast cancer surveillance?
Would you recommend it for a mammographically occult primary or if the patient had dense breasts? What if a high risk patient decides not to have radiotherapy after lumpectomy and refusing mastectomy, should MRI be recommended in follow-up?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
MRI is a routine part of the work up (this would not be screening) for women presenting with axilary nodal disease and occult primary. In the era of MRI the incidence of so called occult primary has gone down becuase of higher sensitivity of MRI
As far screening is concerned, it is approved for high...
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Mednet MemberInvited Expert
Medical Oncology · University of Texas MD Anderson Cancer Center
Answered on
Breast MRI screening is recommended for women who have a lifetime breast cancer risk of 20% or higher, as well BRCA and other germline mutations carriers, such as p53, ATM, PLAB2. The NCCN guidelines have recommendations by gene as well as start age.
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