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Women Opt for Mastectomy If They Have Had MRI
The researchers conducted the study on 5,414 women who had surgery for early-stage breast cancer at Mayo Clinic between 1997 and 2006.
"We found that if a woman undergoes an MRI before surgery, she is about 10 percent to 15 percent more likely to have a mastectomy, compared to women who did not undergo MRI," said the Dr Rajini Katipamula, study's lead author and a senior clinical fellow in hematology/oncology.
The team found that mastectomy rate declined from 44 percent in 1997 to 30 percent in 2003, but then had risen to 43 percent in 2006.During this time, the percentage of women who had breast MRI more than doubled, from 11 percent in 2003 to 23 percent in 2006.
The mastectomy rate was significantly higher in women who had a presurgical MRI (52 percent) compared to women who did not have the test and chose breast removal (41 percent).
"Our study is the largest to examine the association between MRI and mastectomy rates at a single institution and may reflect national trends," said Dr Matthew Goetz, study's senior author and assistant professor of oncology at Mayo Clinic.
He said that MRI, which easily detects both cancerous and non-cancerous breast lesions, may prompt a woman or her physician to choose total breast removal instead of lumpectomy, even though both procedures have long been proven to offer the same survival benefit.
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