Impact of Breast MRI on Surgical Treatment, Axillary Approach, and Systemic Ther

[Guest guest]

> Impact of Breast MRI on Surgical Treatment, Axillary Approach, and Systemic

> Therapy for Breast Cancer

>

>

http://thebreastjournal.blogspot.com/2008/06/impact-of-breast-mri-on-surgical.ht\

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> S. Mameri, Claudio Kemp, Suzan M. Goldman, Luiz A. Sobral,

> Ajzen

> The Breast Journal 14 (3) , 236-244

>

> The purpose of this study is to determine how often breast magnetic

> resonance imaging (MRI) brings additional information that influences

management of

> patients with breast cancer concerning surgical treatment, axillary lymph node

> approach, and systemic therapy.

>

> From July 2004 to July 2005, 99 patients recently diagnosed with breast

> cancer in clinical stages 0, I, and II were prospectively evaluated about

their

> therapeutic plans, at first based on usual protocol (physical examination,

> mammography and ultrasound) and next going through bilateral breast MR.

> Examinations were carried out at 1.5 T on five sequences of FSPGR 3D for 90

seconds

> (four post-gadolinium diethylenetriaminepenta acetic acid 0.16 mM/Kg).

> Parameters analyzed on MRI were extension of primary lesion; detection of

> multifocality, multicentricity, or contra lateral lesion; muscular or skin

involvement;

> and presence of lymph node involvement. Pathologic confirmation of

> additional lesions was achieved by core or excisional biopsy.

>

> MRI made 69 additional findings in 53 patients. Fifty-one findings were

> true-positives (51/69 = 73.9%) including 16 larger single lesions; 18 cases of

> multifocality; 7 cases of multicentricity; 3 cases of contra lateral lesion; 5

> cases of lymph node involvement (one of them involved medial thoracic chain);

> 1 with muscular involvement; 1 with skin involvement. MRI has changed

> previous management plans in 44.4% of 99 patients. We observed increase in

> mastectomies (26.8%) on axillary lymph node dissection (25%) and changes on

systemic

> therapy (20.2%), all because of additional MRI true-positive findings.

>

> Breast MRI alters significantly the rate of mastectomy, the approach of

> axillary chain for staging, and the use of systemic therapy because of its

> accuracy in evaluating breast cancer local extent.

> _____________________________________________________________________________

>

>

>

> UPCOMING EVENTS TO REGISTER FOR ANY EVENT: 845/339-4673

>

>

> VITAMIN D PREVENTS CANCER, OTHER DISEASES--IS IT TRUE??

> TUESDAY, JULY 15, 6PM- Columbia-Greene Healthcare Consortium- 325

> Columbia Street- Hudson. Co-sponsored by Breast Cancer Options and the

Columbia

> Greene Healthcare Consortium. A light dinner will be provided but you must

> pre-register. WEDNESDAY, JULY 16, 7PM- Benedictine Hospital

Administrative

> Services Building, Kingston -Co-sponsored by the Benedictine Hospital

> Oncology Support program and Breast Cancer Options.

>

>

> Have you been reading the press about vitamin D? The latest story from

> Canada was that there was a 94% greater probability of cancer recurrence in

women

> with low vitamin D levels.

> · Does vitamin D really prevent cancer?

> · Does it prevent Other diseases?

> · Can it be used to treat disease?

> · What's the evidence?

> Speaker: Carole Baggerly is Director of GrassrootsHealth, a vitamin D

> education organization. Her presentation will address what we really know,

what we

> don't, what current research is going on and what needs to be done. The focus

> is especially on what individuals can do safely TODAY to help prevent cancer

> (and other diseases such as type 1 diabetes and hypertension). This

> information was presented at the recent 44th American Society of Clinical

Oncology

> (ASCO) Annual Meeting in Chicago

>

> _____________________________________________________________________________

> PREVENTING AND MANAGING LYMPHEDEMA

> Strategies for the early recognition & management of lymphedema

>

> TUESDAY, JULY 22- 6:30-8PM - Heermance Memorial Library, 1 Ely St.,

> cackie

> Speaker: Diane Distelcamp, PT, MA, CLT. Certified Lymphedema Therapist.

> Center of Health, Saugerties

> Lymphedema can be a significant complication from breast cancer-related

> therapy. A discussion of the patient population at risk for developing

> lymphedema, the impact of lymphedema on a patient's quality of life, and

strategies

> for the early recognition and management of lymphedema.

>

> _____________________________________________________________________________

> CAMP LIGHTHEART and the CAMP LIGHTHEART WALK

> CAMP LIGHTHEART is a free sleep-away camp for children ages 8 to 15

> who have a parent with breast cancer.

> Camp will be held at the Omega Institute Campus in Rhinebeck, NY

> Aug.26st-Aug.29th.

> If you have a child who would like to attend camp please call us.

> 845-339-4673

>

> The CAMP LIGHTHEART WALK... WALK AND SEND A KID TO CAMP! Saturday, July

> 26, 2008 - 9AM-2PM

> Dietz Stadium, Kingston NY

>

> The walk raises money so that camp can be held free-of-charge!

> For Information click here

>

>

>

>

>

>

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