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The Role of Radiologist in Conservative Management of Breast Cancer

Tarek Aref1 and Walid Mohamed Ahmed

Journal Title:Acta Scientific Women's Health
Abstract


Breast conserving therapy (BCT) means breast conserving surgery (BCS), followed by a suitable-dose of radiotherapy to eliminate any microscopic residual neoplastic breast disease. BCS is currently considered the most suitable protocol for management of early stage of invasive cancer, that combines both adequate surgical margins and an acceptable cosmetic result. The role of mammography and breast ultrasonography for many years was concerning the diagnosis of breast tumors and local recurrence after treatment. The advent of the Breast Imaging Reporting and Data System (BIRADS) by the American College of Radiology, helps to maximize Radiolo-gist’s role through any factors: standardized the description and recommended management of breast lesions. BIRADS has increased the radiopathological correlation of radiologists’ reports, improving the reports’ reliability and has also established a common lan-guage for all of the physicians involved in multidisciplinary breast disease management team, favoring agreement on decisions, and Furthermore, advances in breast magnetic resonance imaging; functional MRI and image-guided interventional procedures have increased our responsibility in the therapeutic decision-making process. The role of Radiologist in BCT: I- Accurate and early diag-nosis of breast cancer and staging. II- Interventional role of Radiologist in BCT including imaging-guided biopsy of breast masses, stereotactic biopsy of nonpalpable lesions and or microcalcifications guided by mammography or MRI. Post-biopsy-clips insertion, and pre-neoadjuvant chemotherapy localization of malignant lesion by US-guided insertion of a hydromark (clips). Pre-operative localization of non-palpable breast mass or microcalcifications by US-guided insertion of wire. III- Evaluation of response to neoad-juvant therapy using RECIST (Response Evaluation Criteria in Solid Tumors).

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