Guided wire localization of non-palpable breast lesions

ABSTRACT

The wide use of screening mammography had resulted in the discovery of an increasing number of suspicious non-palpable breast lesions for which surgical excision after guided wire localization is the diagnostic gold standard. This study had included 32 patients with non-palpable breast lesions, wire localization was done guided by U.S in 22 patients and by mammography in the remaining ten. This was followed by operative excision of the lesion around the guide wire tip. Specimen radiography was done for 25 of excised specimens. Complete excision was achieved in 22 patients [88%]. Histopathological examination yielded the final pathological diagnosis, malignant lesions were found in 7 occasions [21.87%]. U.S proved to be a simple technique allowing guidance in different sites of the breast through the shortest possible route thus obviating excessive breast dissection