Tarek Aref1* and Walid Mohamed Ahmed2
1Professor, Head of Radiologist in Multidisciplinary Team Approach Management
of Early Stage Invasive Breast Cancer, Medical Research Institute,
Alexandria University, Egypt
2Lecturer of Radiology, Radiologist in Multidisciplinary Team Approach Management of Early Stage Invasive Breast Cancer, Medical Research Institute, Alexandria University, Egypt
*Corresponding Author: Tarek Aref, Professor, Head of Radiologist in Multidisciplinary Team Approach Management of Early Stage Invasive Breast Cancer, Medical Research Institute, Alexandria University, Egypt
Received: March 14, 2020; Published: April 13, 2020
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 Radiologist’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 language 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 diagnosis 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 neoadjuvant therapy using RECIST (Response Evaluation Criteria in Solid Tumors).
Keywords: Breast Conserving Therapy (BCT); Breast Conserving Surgery (BCS); Breast Imaging Reporting and Data System (BIRADS)
Citation: Tarek Aref and Walid Mohamed Ahmed. “The Role of Radiologist in Conservative Management of Breast Cancer". Acta Scientific Women's Health 2.5 (2020): 02-04.
Copyright: © 2020 Tarek Aref and Walid Mohamed Ahmed. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.