Volume : 7, Issue : 1, January - 2018

SIGNIFICANCE OF MRI STAGING OVER CLINICAL STAGING FOR DECISION MAKING IN CARCINOMA OF BREAST

Dr. Manju Singh, Dr. Priti Upadhyay, Dr. Gambheer Singh, Dr. Amit Agrawal, Dr Brajendra Kumar

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="line-height:150%"><span lang="EN-IN" style="font-size:&#10;14.0pt;mso-bidi-font-size:12.0pt;line-height:150%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">The purpose of this study is to determine influence of<span style="mso-spacerun:yes">&nbsp; </span>east magnetic resonance imaging (MRI) in management of patients with east cancer concerning surgical treatment and systemic therapy. </span><span lang="EN-IN" style="font-size:14.0pt;line-height:&#10;150%">This is a prospective analytical study carried out in 50 female patients with confirmed diagnosis of Carcinoma of Breast (proven by biopsy or FNAC). In all these patients correlation and analysis of clinical findings and MRI findings was done and changes in management plan was evaluated.</span><span lang="EN-IN" style="font-size:14.0pt;mso-bidi-font-size:12.0pt;line-height:150%"> In this study clinical staging of tumor was changed in total 20 patients (40%) after MRI. In 6 patients i.e. 12% cases detected with additional lesion on MRI. Out of which 3 lesions were detected in ipsilateral east and 3 lesions detected in contralateral east. In total 9 patients (18% cases) management plan was changed after MRI.<span style="background:white"> MRI is effective in the management plan of east malignancy &amp; it is an important investigation in east oncoplastic surgery in which the conservation of east is priority with complete removal of malignancy but it is not possible in our set-up as we got a very small number of patients ideal for Breast oncoplastic surgery due to lack of awareness among people &amp; late stage of presentation, poor compliance and low socio economic status of the patients.</span></span><b><span lang="EN-IN" style="font-size:10.5pt;line-height:150%"><o:p></o:p></span></b></p>