Mastectomies on the Increase

Mastectomy rates in women who did not have an MRI also increased, from 28 percent in 2003 to 41 percent in 2006.

Nevertheless, Goetz said, "patients who had preoperative MRI were significantly more likely to undergo mastectomy."

But the greater sensitivity of MRI may, in fact, be a double-edged sword.

"Although there has been a lot of excitement about the sensitivity of MRI, there is a significant downside. We don't have evidence that MRI improves our outcome. What we do know is that it finds a lot of things that we don't know the significance of, and many aren't significant," Bleicher.

He added, "I would say this data is phenomenally important, because we're starting to take a step back about the excitement of MRI and look at it through more realistic non-rose-colored glasses."

"Future studies are needed to determine those factors most likely to influence changes in surgical management and whether the changes influence breast cancer outcomes or quality of life," Goetz said.

More information

The National Cancer Institute has more on surgery options for breast cancer patients.

SOURCES: Richard J. Bleicher, M.D., co-director, Breast Fellowship Program, Fox Chase Cancer Center, Philadelphia; May 15, 2008, teleconference with Matthew Goetz, M.D., assistant professor, oncology, Mayo Clinic, Rochester, Minn., and Julie Gralow, M.D., associate professor, medical oncology, University of Washington School of Medicine, Seattle; May 31, 2008, presentation, American Society of Clinical Oncology, annual meeting, Chicago