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Breast Cancer Evaluation
Ernest H. Rosenbaum, MD

Often, more sensitive breast cancer screening techniques are used - high-resolution ultrasonography or magnetic resonance imaging (MRI). This is controversial as they have lower specificity than conventional mammography with a high false positive rate. In a recent study at the time of diagnosis, an MRI of the contralateral breast found approximately 3% of patients with occult breast cancers. Thus, neither MRI nor high resolution ultrasonography is recommended for routine follow-up, except in high risk cases. If the first cancer was diagnosed with mammography, then mammography would be a satisfactory method of follow-up for the contralateral breast.

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