Can magnetic resonance imaging be used to select patients for sentinel lymph node biopsy in prophylactic mastectomy?
Carcinoma, Ductal, Breast
Magnetic Resonance Imaging
Sentinel Lymph Node Biopsy
Occult cancer was identified in 5% of PMs. PM with or without SLNB spared only 4 of 393 patients (1%) from undergoing ALND, whereas PM alone identified unsuspected invasive disease in 3 of 136 patients (2%). When performed, MRI accurately ruled out the presence of an invasive cancer in the prophylactic breast, suggesting that MRI can be used to select patients for PM without SLNB.