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Nonpalpable breast lesions: wire localization and excisional biopsy
The American Surgeon
|March 1, 1986
Summary
Needlewire localization effectively guides biopsy of nonpalpable breast lesions, ensuring complete removal of suspicious mammographic findings. This outpatient procedure is safe and efficient for diagnosing breast cancer and benign conditions.
Area of Science:
- Radiology
- Surgical Pathology
- Oncology
Background:
- Nonpalpable suspicious mammographic breast lesions require accurate localization for biopsy.
- Pre-operative needlewire localization is a key technique for guiding surgical excision.
Purpose of the Study:
- To evaluate the efficacy of pre-operative needlewire localization for the biopsy of nonpalpable suspicious mammographic breast lesions.
- To assess the accuracy of lesion removal and the histopathological outcomes.
Main Methods:
- 56 nonpalpable suspicious mammographic lesions in 53 women were localized using pre-operative needlewire localization.
- Surgical excision was performed, followed by specimen radiography and histopathological analysis of x-rayed tissue blocks.
Main Results:
- All suspicious lesions were successfully removed in the first operation.
- Six lesions (10.7%) were intraductal breast carcinomas (all Stage I); the remainder were benign.
- Fibrocystic changes were common among benign lesions, with one case of atypical hyperplasia.
Conclusions:
- Pre-operative needlewire localization is an effective method for the outpatient surgical biopsy of nonpalpable suspicious mammographic breast lesions.
- Close communication between surgical, radiological, and pathology teams is crucial for successful outcomes.
- The procedure facilitates accurate diagnosis and complete excision of malignant and benign breast conditions.