caa a22 4500 445336374 CHVBK 20180317142756.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1245/s10434-011-1565-y doi (NATIONALLICENCE)springer-10.1245/s10434-011-1565-y Does a Supplementary Preoperative Breast MRI in Patients with Invasive Lobular Breast Cancer Change Primary and Secondary Surgical Interventions? [Elektronische Daten] [Joerg Heil, Anne Bühler, Michael Golatta, Joachim Rom, Aba Harcos, Anne Schipp, Geraldine Rauch, Hans Junkermann, Christof Sohn] Background: We evaluated whether a supplementary preoperative breast MRI in patients with invasive lobular breast cancer (ILC) has changed number and methods of primary and number of secondary surgical interventions. Materials and Methods: This was a retrospective controlled single-center analysis of 178 ILC patients. The 2 study groups consisted of 92 patients with breast MRI (MRI group) and of 86 patients without breast MRI (non-MRI group). We investigated the primary and final surgical procedures and factors that influenced the number of secondary surgical interventions. Results: A total of 40 primary mastectomies (38%) have been performed in the MRI group, compared with 27 (30%) in the non-MRI group (P=.119).There have been more bilateral surgical interventions in the MRI group (14 vs 3 patients; P=.002). The 2 groups did not differ with respect to secondary surgery rates (P=.429). The MRI and non-MRI group were significantly different with respect to age and breast density (P=.003 and P=.002). Yet, both variables seemed not to influence secondary surgery rates (P=.516 and P=.788, respectively). Conclusions: The implementation of preoperative breast MRI tended to result in more primary mastectomies and bilateral surgeries and did not seem to decrease the secondary surgery rate. Society of Surgical Oncology, 2011 Heil Joerg University Breast Center Heidelberg, Heidelberg, Germany aut Bühler Anne University Breast Center Heidelberg, Heidelberg, Germany aut Golatta Michael University Breast Center Heidelberg, Heidelberg, Germany aut Rom Joachim University Breast Center Heidelberg, Heidelberg, Germany aut Harcos Aba University Breast Center Heidelberg, Heidelberg, Germany aut Schipp Anne Department of Radiology, Breast Unit, Heidelberg University Hospital, Heidelberg, Germany aut Rauch Geraldine Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany aut Junkermann Hans University Breast Center Heidelberg, Heidelberg, Germany aut Sohn Christof University Breast Center Heidelberg, Heidelberg, Germany aut Annals of Surgical Oncology Springer-Verlag 18/8(2011-08-01), 2143-2149 1068-9265 18:8<2143 2011 18 10434 https://doi.org/10.1245/s10434-011-1565-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-011-1565-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Heil Joerg University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Bühler Anne University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Golatta Michael University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Rom Joachim University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Harcos Aba University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Schipp Anne Department of Radiology, Breast Unit, Heidelberg University Hospital, Heidelberg, Germany aut NATIONALLICENCE 700 1- Rauch Geraldine Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Junkermann Hans University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 700 1- Sohn Christof University Breast Center Heidelberg, Heidelberg, Germany aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/8(2011-08-01), 2143-2149 1068-9265 18:8<2143 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer