Unfortunately, there is no documented role for MRI of the breast AFTER someone has been diagnosed with breast cancer, even if the original cancer was not detected with mammography [“Hereditary breast cancer risk assessment in primary care,” January]. National Comprehensive Cancer Network guidelines do NOT include recommendations for MRI as a part of breast cancer surveillance.
It is quite a quandary for the patient, and many providers do order it, especially in women who have dense breasts. I specifically asked about the role of MRI after breast cancer diagnosis and treatment at a national conference for breast cancer, and I was told that there is no role.—ELIZABETH GARBER, MSN, FNP, NP-C, Goshen, Ind. (209-2)
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