Predictive value of T2‑weighted magnetic resonance imaging for the prognosis of patients with mass‑type breast cancer with peritumoral edema

Liang,Ting; Hu,Bin; Du,Hongwen; Zhang,Yili

doi:10.3892/ol.2020.12177

Predictive value of T2‑weighted magnetic resonance imaging for the prognosis of patients with mass‑type breast cancer with peritumoral edema

Authors:
- Ting Liang
- Bin Hu
- Hongwen Du
- Yili Zhang
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Affiliations: Imaging Center, The First Affiliated Hospital of Xi'an Jiaotong University School of Medicine, Xi'an, Shaanxi 710061, P.R. China
Published online on: October 1, 2020 https://doi.org/10.3892/ol.2020.12177
Article Number: 314
Copyright: © Liang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The aim of the present study was to investigate the role of edema surrounding breast cancer masses in the prognostic prediction of magnetic resonance imaging (MRI) T2‑weighted fat suppression sequence. For this purpose, 80 patients with mass‑type breast cancer underwent conventional plain breast MRI, dynamic contrast‑enhanced (DCE)‑MRI or diffusion‑weighted MRI scan. The associations between edema around the mass on MRI T2 fat suppression sequence plain scan and tumor stage, pathological findings, immunohistochemical findings and axillary lymph node metastasis were analyzed. The results revealed the presence of edema around the mass on the MRI T2 fat suppression sequence plain scan in 35 patients. By contrast, there was no abnormal enhancement on the DCE‑MRI, and the apparent diffusion coefficient value did not decrease in these areas. Compared with the remaining 45 patients, the 35 patients with peritumoral edema exhibited a higher tumor stage and a higher rate of axillary lymph node metastasis (all P<0.05). However, there was no significant difference in pathological classification or the expression of estrogen receptor, progesterone receptor and human epidermal growth factor receptor 2 (as determined by immunohistochemistry) between the two groups. In total, 12 cases of tumor shrinkage during neoadjuvant chemotherapy were accompanied by an improvement in edema. Taken together, the findings of the present study indicated that the presence of edema around the mass on the MRI T2 fat suppression sequence may predict poor prognosis in patients with mass‑type breast cancer. Furthermore, the improvement of the peritumoral edema post‑neoadjuvant chemotherapy may also be a predictor of a more favorable prognosis.

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