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Re: MRI for patients at risk for breast cancer From: Joanne Bulley, MD (islesannie@gmail.com) Tue Apr 3 20:36:10 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: April fools" Next in thread: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer" Reply: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer" But the MRI of Breast also misses DCIS - so as we all know - nothing is the end-all / perfect test. There are false positives and false negatives with any of the breast screening programs. So ... for the super dense breasts and for the significant family history - I often send the patient to one of the local general surgeons and ask for the development of a screening plan for this patient - that is specific to her risk factors. If I actually order the MRM - it is witih a second opinion / review by a gen surg! With all the other stuff I make sure the patients know and get screened for in the office - this is one I am more than happy to assign to the general surgeon for detailed review of pertinent history and development of plan! Joanne maybe I am just a chicken on this subject! At Tue, 3 Apr 2007, ainsron wrote: > >This is what I found in the recently published ACS guidelines: > >The new guidelines from the American Cancer Society[2] were prompted by >several recent studies of MRI screening of women at high risk of breast >cancer. While these studies found that the addition of MRI to mammography >increased the frequency of false-positive test results compared to >mammography alone, it also produced important improvements in breast cancer >detection. > >Based on these findings, the American Cancer Society recommends yearly >screening with breast MRI in addition to mammography for the following >high-risk groups of women: > >Women with a BRCA1 or BRCA2 mutation >Women who have a first-degree relative (parent, sibling, child) with a BRCA1 >or BRCA2 mutation, even if they have yet to be tested themselves >Women who have a 20-25% or greater risk of breast cancer based on risk >assessment tools >Women who had radiation to the chest between the ages of 10 and 30 years >Women who have Li-Fraumeni syndrome, Cowden syndrome, or >Bannayan-Riley-Ruvalcaba syndrome, or may have one of these syndromes based >on a history in a first-degree relative > >Ronald E. Ainsworth, MD, FACOG > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. >Siegel, M.D. >Sent: Tuesday, April 03, 2007 1:13 PM >To: Multiple recipients of list OB-GYN-L >Subject: Gyn: MRI for patients at risk for breast cancer > >Regarding the recently published article about this, a reference is made >to a BRCAPRO model, which I assume is somewhat like the Gail Model. > >The Gail Model is available in many places; how does one use this >model/obtain it/etc.? Or, do I refer patients out for this assessment? > >Any help is welcome; I am googling and not getting anywhere fast. > >Thanks, > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA Next message: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: April fools" Next in thread: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer" Reply: Garry E. Siegel, M.D.: "Re: MRI for patients at risk for breast cancer"

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