NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines

Ductal carcinoma in situ (DCIS) of the breast represents a heterogeneous group of neoplastic lesions in the breast ducts. The goal for management of DCIS is to prevent the development of invasive breast cancer. This manuscript focuses on the NCCN Guidelines Panel recommendations for the workup, primary treatment, risk reduction strategies, and surveillance specific to DCIS.

https://www.unitypoint.org/desmoines/filesimages/Cancer%20Education/Oncology%20Nursing%20Conference/2015/2014%20NCCN%20Clin%20Pract%20Guidelines%20Male%20Sex%20Dysf.pdf

Clinical practice guidelines in oncology

https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(11)61350-0.pdf

MRI for breast cancer screening, diagnosis, and treatment

This paper summarizes information about breast MRI to be provided to women and referring physicians. After listing contraindications, procedure details are described, stressing the need for correct scheduling and not moving during the examination. The structured report including BI-RADS® categories and further actions after a breast MRI examination are discussed. Breast MRI is a very sensitive modality, significantly improving screening in high-risk women. It also has a role in clinical diagnosis, problem solving, and staging, impacting on patient management. However, it is not a perfect test, and occasionally breast cancers can be missed. Therefore, clinical and other imaging findings (from mammography/ultrasound) should also be considered. Conversely, MRI may detect lesions not visible on other imaging modalities turning out to be benign (false positives). These risks should be discussed with women before a breast MRI is requested/performed. Because breast MRI drawbacks depend upon the indication for the examination, basic information for the most important breast MRI indications is presented. Seventeen notes and five frequently asked questions formulated for use as direct communication to women are provided. The text was reviewed by Europa Donna–The European Breast Cancer Coalition to ensure that it can be easily understood by women undergoing MRI. • Information on breast MRI concerns advantages/disadvantages and preparation to the examination
 • Claustrophobia, implantable devices, allergic predisposition, and renal function should be checked
 • Before menopause, scheduling on day 7–14 of the cycle is preferred
 • During the examination, it is highly important that the patient keeps still
 • Availability of prior examinations improves accuracy of breast MRI interpretation

/pdf/breast-mri-eusobi-recommendations-for-women-s-information-443igey8it.pdf

Breast MRI: EUSOBI recommendations for women's information.

Background and Objective:The role of breast magnetic resonance imaging (MRI) in women newly diagnosed with breast cancer (BC) is controversial. This meta-analysis examines the effect of preoperative MRI compared with standard preoperative assessment on surgical outcomes, focusing on studies that use

Preoperative magnetic resonance imaging in breast cancer: meta-analysis of surgical outcomes.

https://weinsteinimaging.com/userfiles/breast%20mri%206.pdf

M.A. Fernandez-Gallardo

Papers

Preoperative MRI and surgical management in patients with nonpalpable breast cancer: the MONET - randomised controlled trial.