Breast MRI is a useful technological innovation, provided that the newly discovered lesions are confirmed by biopsies prior to surgery.
Neoadjuvant chemotherapy is used more often when breast MRI is performed, which likely accounts for the decrease in repeated surgery when breast MRI is used for breast cancer diagnosis.
However, the results suggest that breast MRI should be undertaken when patients fulfil a specific criteria and not as a routine presurgery exam.
Undoubtedly, the detection of additional lesions using breast MRI makes it compulsory to perform a second-look ultrasound, coupled with an additional biopsy, in order to reduce the risk of unjustified nonconserving surgery.
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