Increase in mastectomies performed in patients in the community setting undergoing MRI

Ayodele Ayoola, Suganthi Alagarsamy, Jerry Jaboin, Suman Rao

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    Abstract

    This study is designed to determine whether the use of magnetic resonance imaging (MRI) leads to an increased number of unnecessary mastectomies in breast cancer patients in the community setting. This is a retrospective study of the records of 178 patients from the local offices of three community physicians. The medical records of patients over the age of 18 with breast cancer who underwent both MRI and mammogram imaging were reviewed. MRI detected more lesions than mammogram; however, these lesions were not cancerous. The lesions detected by mammogram correlated more with pathologic lesions. Of the 59 patients who underwent mastectomies, 78% had MRI and 22% did not have the imaging. Of the 100 patients who had both MRI and mammogram, 48% underwent lumpectomy and 46% had mastectomy. More patients who had both imaging modalities underwent mastectomies compared to those who had mammogram alone. The addition of MRI evaluation in patients with breast cancer is related to increased unnecessary mastectomies.

    Original languageEnglish (US)
    Pages (from-to)256-259
    Number of pages4
    JournalBreast Journal
    Volume17
    Issue number3
    DOIs
    StatePublished - May 1 2011

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    Mastectomy
    Magnetic Resonance Imaging
    Breast Neoplasms
    Segmental Mastectomy
    Medical Records
    Retrospective Studies
    Physicians

    All Science Journal Classification (ASJC) codes

    • Internal Medicine
    • Surgery
    • Oncology

    Cite this

    Ayoola, Ayodele ; Alagarsamy, Suganthi ; Jaboin, Jerry ; Rao, Suman. / Increase in mastectomies performed in patients in the community setting undergoing MRI. In: Breast Journal. 2011 ; Vol. 17, No. 3. pp. 256-259.
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    abstract = "This study is designed to determine whether the use of magnetic resonance imaging (MRI) leads to an increased number of unnecessary mastectomies in breast cancer patients in the community setting. This is a retrospective study of the records of 178 patients from the local offices of three community physicians. The medical records of patients over the age of 18 with breast cancer who underwent both MRI and mammogram imaging were reviewed. MRI detected more lesions than mammogram; however, these lesions were not cancerous. The lesions detected by mammogram correlated more with pathologic lesions. Of the 59 patients who underwent mastectomies, 78{\%} had MRI and 22{\%} did not have the imaging. Of the 100 patients who had both MRI and mammogram, 48{\%} underwent lumpectomy and 46{\%} had mastectomy. More patients who had both imaging modalities underwent mastectomies compared to those who had mammogram alone. The addition of MRI evaluation in patients with breast cancer is related to increased unnecessary mastectomies.",
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    Increase in mastectomies performed in patients in the community setting undergoing MRI. / Ayoola, Ayodele; Alagarsamy, Suganthi; Jaboin, Jerry; Rao, Suman.

    In: Breast Journal, Vol. 17, No. 3, 01.05.2011, p. 256-259.

    Research output: Contribution to journalArticle

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