As we deliver positive histology from the US-guided breast biopsies we realize that early part of their subsequent management is placed in your auspices. We can continue to assist you as difficult decisions arise. . In this respect we would like to familiarize you with the current indications on preoperative breast MRI for these following positive cases:
- Dense breast mammographic pattern limiting tumor visibility.
- Invasive lobular carcinoma with propensity for multiplicity and bilaterally.
- Posterior position for tumor increasing risk of pectoralis and chest wall spread.
- Partial breast irradiation candidates.
- Genetic high risk (BRCA I/ BRCA II).
- History of mantle chest radiation.
- Multifocal, bilateral presentation.
- Metastases to axillary lymph nodes with negative mammogram and US.
- Positive surgical margins after first lumpectomy.
- Paget disease of nipple on exam without mammographic findings.
- Neoadjuvant chemotherapy monitoring.
- Significant (>10mm) discordance of tumor size between mammogram and US.
Please retain this summary as a reference and feel free to discuss further with our radiologists.
A.G Dikengil, M.D. Board certified Radiologist