Fischer U, Vosshenrich R, Probst A, Burchhardt H, Grabbe E
Abteilung Röntgendiagnostik I, Georg-August-Universität Göttingen.
Rofo. 1994 Oct;161(4):300-6. doi: 10.1055/s-2008-1032536.
In a retrospective study the value of MR mammography in cases of radiological well-known carcinoma of the breast was evaluated preoperatively in 76 cases of histopathologically verified carcinoma one lesion was missed by MR imaging. Compared to the results of conventional X-ray mammography additional malignant lesions were detected in 5 patients ipsilaterally and in another 8 patients contralaterally by MR mammography only. In additional 4 cases MR mammography demonstrated suspicious lesions contralaterally, but histopathology revealed benign lesions. The therapeutic procedure was changed in 15 cases (18.5%) due to the findings of MR imaging: Ipsilateral mastectomy instead of tumorectomy (n = 5) or primary chemotherapy instead of operation (n = 1); contralateral additional tumorectomy (n = 3) or mastectomy (n = 2) by carcinoma and open biopsy (n = 4) by benign finding.
在一项回顾性研究中，对76例经组织病理学证实的乳腺癌患者术前评估了乳腺磁共振成像（MR乳腺造影）在影像学上已知的乳腺癌病例中的价值。MR成像漏诊了1个病灶。与传统X线乳腺摄影结果相比，仅MR乳腺造影在同侧另外5例患者和对侧另外8例患者中检测到了额外的恶性病灶。在另外4例中，MR乳腺造影显示对侧有可疑病灶，但组织病理学显示为良性病灶。由于MR成像的结果，15例（18.5%）患者的治疗方案发生了改变：同侧乳房切除术代替肿瘤切除术（n = 5）或原发性化疗代替手术（n = 1）；对侧因癌额外进行肿瘤切除术（n = 3）或乳房切除术（n = 2），因良性发现进行开放活检（n = 4）。
