STEREOTACTIC WIRE LOCALIZATION AND SURGICAL EXCISION OF NON-PALPABL BREAST LESIONS

Abstract

AIM:The aim of this study is presenting results of surgical excision of nonpalpabl breast lesions guided by stereotactic wire placement.MATERIAL and METHODS:Stereotactic wire placement was performed on sixty-four female patients with mammographically and ultrasonographically detected suspicious lesions. The lesions were surgically excised in the operating room under local or general anesthesia, after wire location. Specimen mammograms were obtained to determine the completeness of excision. Then the wound was closed without drainage.RESULTS:Histopathological examination of the specimens revealed that the lesions were benign in 43 cases (67.2%), and malignant in 21 cases (32.8%). Histopathological examination confi rmed benignity in all of the seven patients with lesions which were reported as BI-RADS II. Malignancy rates in BIRADS III and IV groups were 8% and 51.8% respectively. Lesions of all fi ve of the patients in BI-RADS V group were histologically malignant.CONCLUSION:Surgical excision of nonpalpabl breast lesions after stereotactic wire placement is a valuable method for early diagnosis of breast cancer. Close following of BI-RADS II cases, close following and biopsy when required for BIRADS III cases, and needle location and biopsy for BI-RADS IV and V is proposed.