Do you recommend breast MRI for patients with invasive lobular breast cancer considering breast conservation therapy?  

I agree with @Leonard Prosnitz.  I used to get MRIs in women with lobular cancers routinely, but as data have shown no outcome benefit to pre-op MRI and a higher mastectomy rate associated with the use of MRI, I now only get MRIs in patients in whom the surgeon feels that the other imaging...

No.   Despite the tendency for multifocaility in lobular carcinoma, there is no evidence that MRI improves the outcome when such pts are treated with BCT ( lumpectomy + RT).   Older series indicate equivalent outcomes for lobular ca compared with other histologies.   The possible expl...