Biopsia escissionale con repere metallico delle lesioni non palpabili della mammella: indicazioni e limiti.

Translated title of the contribution: Excisional biopsy with wire localisation of non-palpable breast lesions: indications and limitations

Antonio Santoriello, Massimo Di Maio, Raffaella Benevento, Andrea Fattopace, Angela Della Corte, Isabella Fierro, Silvestro Canonico

Research output: Contribution to journalArticlepeer-review

Abstract

Preoperative localisation of non-palpable breast lesions is necessary for excisional biopsies. This can be achieved with methods such as anchor wire, charcoal marking, or radio-guided localisation. The aim of the present study was to evaluate retrospectively our experience with the wire localisation technique. One hundred and eighty-two patients with non-palpable breast lesions (diameter: 0.4-1.5 cm) were operated on under local anaesthesia. Intraoperative X-rays were performed in all cases. No serious perioperative complications occurred. Three patients (2 with postoperative haematomas and 1 with wound infection) underwent conservative therapy. The lesions were benign in 67/182 patients (37%), ductal and/or lobular invasive cancer in 42 (23%), carcinoma in situ in 23 patients (12.5%) and ADH-ALH in 50 patients (27.5%). Our experience confirms that wire localisation biopsies constitute an excellent method for the excision of non-palpable breast lesions. This technique is characterised by high reliability (100% total excisions) and assures a prognostic evaluation of high-risk lesions such as ductal an/or lobular atypical hyperplasia.

Translated title of the contributionExcisional biopsy with wire localisation of non-palpable breast lesions: indications and limitations
Original languageItalian
Pages (from-to)625-629
Number of pages5
JournalChirurgia Italiana
Volume57
Issue number5
Publication statusPublished - Sep 2005

ASJC Scopus subject areas

  • Surgery

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