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Ectopic breast localization wire in the pleural cavity: A case report.
Xuelu Li1, Dandan Zhu2, Man Li1
1Department of Breast Surgery and Oncology, The Second Hospital of Dalian Medical University, Dalian, Liaoning 116027, P.R. China.
Molecular and Clinical Oncology
|May 5, 2018
Summary
An unusual complication occurred during breast cancer surgery when a localization wire migrated to the pleural cavity. This case highlights a rare risk associated with ultrasound-guided wire localization procedures.
Area of Science:
- Radiology
- Surgical Oncology
- Thoracic Surgery
Background:
- Ultrasound-guided wire localization is a standard technique for non-palpable breast lesions.
- This method offers advantages such as reduced operative time and minimal tissue injury.
Purpose of the Study:
- To report a rare case of ectopic breast localization wire migration.
- To discuss the management and implications of this complication.
Main Methods:
- Case report of a 47-year-old female with a history of breast cancer.
- Intraoperative identification of the misplaced wire using X-ray and CT imaging.
- Surgical removal of the wire under thoracoscopic guidance.
Main Results:
- An ultrasound-guided localization wire migrated to the pleural cavity.
- The wire was successfully identified and removed thoracoscopically.
- The patient experienced an uneventful recovery.
Conclusions:
- Ectopic migration of localization wires is a rare but possible complication.
- Multimodal imaging and minimally invasive techniques can effectively manage such events.
- This case represents the first reported instance of wire migration to the pleural cavity in English literature.
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