Magnetic resonance-guided ROLL/SNOLL in breast cancer patients treated with neoadjuvant chemotherapy

Abstract

PurposeTo describe the results of MRI (Magnetic Resonance Image) guided ROLL (Radioguided Occult Lesion Localization) and SNOLL (Sentinel Node Occult Lesion Localization) in the localization of residual disease after neoadjuvant chemotherapy for breast cancer, as well as assessing the surgical results obtained and disease free survival. MethodsProspective observational analysis of 132 patients with 136 tumors, treated with neoadjuvant chemotherapy at our Hospital between 2011−2017. Residual disease was localized with MRI guided ROLL/SNOLL technique. We analyzed technical aspects of localization, and variables corresponding to surgical procedures and events occurred during follow-up. ResultsThe median tumor size was of 20,5mm (Interquartilic Range (IQR): 14−28). The majority (96,3%) were invasive ductal carcinomas. Sentinel lymph node detection rate was 98,9%. Complete pathological response (CPR) in the breast was achieved in 58,1% of cases. The rate of affected margins in 89 cases operated by conservative surgery was 2,2%. With a median follow-up of 50 months (IQR: 37–61) we found a 7,4% rate of relapses. Of these, 7 were loco-regional and 3 at distant sites. The estimated mean of disease-free survival time was 83,2 months (Confidence Interval (CI) 95%: 79.6–86,6). ConclusionsMRI guided ROLL/SNOLL is a great tool for breast cancer residual disease localization following neoadjuvant chemotherapy. In addition, this technique attains good loco-regional control of the diseases and has excellent surgical results.