Preoperative localization of occult breast lesions and microcalcifications in breast

Abstract

Introduction: Early detection of occult breast lesion and microcalcifications can reduce mortality of breast carcinoma. The preoperative wire localization of mammographic identified occult breast lesions and microcalcifications is a relatively simple and safe procedure. The wire has been removed at surgery. Purpose: To present a value of preoperative localization in successful removal of occult breast lesions and microcalcifications. Materials and methods: A review of locating procedures done for 35 patients during 2017 – May 2019 period. In our institution both symptomatic and asymptomatic patients undergo mammography. The preoperative wire localization was performed only for mammographic identified occult breast lesions and microcalcifications. We used a perforated mammography compression plate and hook wires. The goal of preoperative wire localization is to place the tip of the needle as close to lesion. Local anesthesia is used in the skin and subcutaneous tissue. Our routine mammograms include a craniocaudal view and oblique view. The patient is always seated for the procedure. The specimen was radiographed in all cases. Results: The study included 35 patients, mean age 52 years. All localizations were performed by radiologists. Surgery was performed by two different surgeons. Reasons for wire localizations were masses (13), calcifications (18) and masses with calcifications (4). Primary malignancy detected in 20 patients, CIS in 5 patients. We were not aware of any infections or other complications that resulted from this procedure in our series. The localization procedure takes approximately 45 minutes. Conclusion: Preoperative wire localization of breast lesions is an integral component of the early detection of breast carcinoma.