titoli, abstracts, parole chiave >>>
Meta-analysis of the effect of preoperative breast MRI on the surgical management of ductal carcinoma in situ

Fancellu, Alessandro and Turner, Raymond M. and Dixon, John Michael Joseph and Pinna, A. and Cottu, Pierina and Houssami, Nehmat (2015) Meta-analysis of the effect of preoperative breast MRI on the surgical management of ductal carcinoma in situ. British Journal of Surgery, Vol. 102 (8), p. 883-893. eISSN 1365-2168. Article.

Full text not available from this repository.

DOI: 10.1002/bjs.9797

Abstract

Background: MRI has been used increasingly in the diagnosis and management of women with invasive breast cancer. However, its usefulness in the preoperative assessment of ductal carcinoma in situ (DCIS) remains questionable. A meta-analysis was conducted to examine the effects of MRI on surgical treatment of DCIS by analysing studies comparing preoperative MRI with conventional preoperative assessment.
Methods: Using random-effects modelling, the proportion of women with various outcomes in the MRI versus no-MRI groups was estimated, and the odds ratio (OR) and adjusted OR (adjusted for study-level median age) for each model were calculated.
Results: Nine eligible studies were identified that included 1077 women with DCIS who had preoperative MRI and 2175 who did not. MRI significantly increased the odds of having initial mastectomy (OR 1·72, P = 0·012; adjusted OR 1·76, P = 0·010). There were no significant differences in the proportion of women with positive margins following breast-conserving surgery (BCS) in the MRI and no-MRI groups (OR 0·80, P = 0·059; adjusted OR 1·10, P = 0·716), nor in the necessity of reoperation for positive margins after BCS (OR 1·06, P = 0·759; adjusted OR 1·04, P = 0·844). Overall mastectomy rates did not differ significantly according to whether or not MRI was performed (OR 1·23, P = 0·340; adjusted OR 0·97, P = 0·881).
Conclusion: Preoperative MRI in women with DCIS is not associated with improvement in surgical outcomes.

Item Type:Article
ID Code:10959
Status:Published
Refereed:Yes
Uncontrolled Keywords:Breast cancer, ductal carcinoma in situ (DCIS), MRI, random-effects modelling
Subjects:Area 06 - Scienze mediche > MED/18 Chirurgia generale
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Medicina Clinica e Sperimentale
Publisher:Wiley
eISSN:1365-2168
Deposited On:11 Jun 2015 17:02

I documenti depositati in UnissResearch sono protetti dalle leggi che regolano il diritto d'autore

Repository Staff Only: item control page