Abstract:
Background:Breast MRI is no longer considered as an experimental modality,but has reached a solid position in the diagnosis and workup of breast lesions.
Aim:is to assess the impact of contrast enhanced MRI in the diagnosis and management of breast cancer in young female patients.
Patient & method:Retrospective descriptive study of imaging findings of pathologically proved breast cancer in young female patients, from Kasr Al Ainy hospital, National cancer institute and El Sahel teaching hospital.From Jan.2018 to June 2018.The patients were referred from general surgery department.
Approval of the local ethical committee were taken in consideration. Economic status of the patients have been considered.25 patients, Ages ranged between 20 and 40 years (mean age 30); the previous ultrasound and mammography scans done for the patients to assess the actual size,metabolic behaviour of the lesion and its relation to the surrounding structures.
Results: The current study showed that 18/25(72%) cases had multicentric breast cancer and 7/25 (28%) cases had single masses. 21/25 (84%) cases were missed by mammography. 14/25 (56%) cases were missed by ultrasound.
Conclusion:We concluded that DCE-MRI has a vital role in the diagnostic work up and management of breast cancer in young women.MRI revealed most specific criteria for malignancy and it has a great ability to detect both of main lesion and additional lesions(multicentric malignancy).MRI is a very important modality as it can assist in management by more accurate assessment of the extent of disease.
Key words: MRI, Breast cancer, fertility.