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Related Experiment Videos

Wire fragments after needle localization

J S Montrey1, J A Levy, R J Brenner

  • 1Department of Surgery, Southern Illinois University School of Medicine, Springfield 62794, USA.

AJR. American Journal of Roentgenology
|November 1, 1996
PubMed
Summary
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Retained breast biopsy wires are usually stable and asymptomatic. Follow-up mammography at 3 and 6 months is recommended for asymptomatic patients, with excision for symptomatic cases.

Area of Science:

  • Radiology
  • Breast Imaging
  • Surgical Pathology

Background:

  • Needle localization is crucial for non-palpable breast lesions.
  • Retained guidewire fragments after breast biopsy are uncommon.
  • Limited data exists on the long-term natural history of these fragments.

Purpose of the Study:

  • To investigate the natural history of retained wire fragments after breast biopsy.
  • To evaluate the clinical and imaging outcomes of patients with retained fragments.
  • To establish management guidelines for asymptomatic and symptomatic retained fragments.

Main Methods:

  • Retrospective review of 10 patients with retained wire fragments.
  • Fragments present for 1.5-11 years post-biopsy.
  • Clinical data and imaging follow-up were analyzed.

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Main Results:

  • Only one patient (10%) experienced symptoms attributed to the retained wire.
  • The position of the wire fragments remained stable in all patients over time.
  • No significant complications were observed in asymptomatic patients.

Conclusions:

  • Retained wire fragments after needle localization are generally benign and stable.
  • Asymptomatic patients require early mammographic surveillance (3 and 6 months).
  • Symptomatic patients should undergo fragment excision.