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Abstract The primary aim of surgical oncology is complete removal of the cancer with clear margins. Within breast surgery, the realization that adequate oncological margins could be obtained without full amputation of the breast. With the refinement of breast conserving surgical techniques, combined with the development of specialist breast surgeon training in reconstructive and aesthetic breast surgery, the place of cosmoses in the surgical management of breast cancer has gained increasing attention. Within the preoperative planning of women suitable for TM, the surgeon must consider breast size, tumor location, and tumor size and how the breast will be reconstituted in terms of its shape and the choice of pedicle . In women with an appropriate starting point for TM, it is worthwhile noting that breast conserving surgery can be considered even for tumors larger than 4 cm using this technique In the present study, we investigated the patterns of change between the initial and final decisions regarding surgical management based on routine mammography, US, and preoperative breast MR findings and analyzed the association between the presence of additional suspicious lesions on breast MR images histopathological correlation After analysis of results, it is found that Additional preoperative breast MRI imaging may be helpful in surgical decision for patients considered for therapeutic mammoplasty.Additional preoperative breast MRI imaging may be helpful in surgical decision for patients considered for therapeutic mammoplasty |