Hook Wire Localization Procedure and Early Detection of Breast Cancer - Our Experience

Authors

  • Maja Jakimovska Dimitrovska University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje
  • Nadica Mitreska University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje
  • Menka Lazareska University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje
  • Elizabeta Stojovska Jovanovska University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje
  • Ace Dodevski Institute of Anatomy, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje
  • Aleksandar Stojkoski University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje

DOI:

https://doi.org/10.3889/oamjms.2015.055

Keywords:

mammography, BI-RADS classification, wire localization, breast cancer

Abstract

AIM: The purpose of this study is to describe our experience with needle localization technique in diagnosing small breast cancers.

MATERIAL AND METHODS: This retrospective study included a hundred and twenty patients’ with impalpable breast lesions and they underwent wire localization. All patients had mammography, ultrasound exam and pathohystological results. We use mammomat Mammomat Inspiration Siemens digital unit for diagnosing mammography, machine - Lorad Affinity with fenestrated compressive pad for wire localization and ultrasound machine Acuson X300 with linear array probe 10 MhZ. We use two types of wire: Bard hook wire and Kopans breast lesion localization needle, Cook. Comparative radiologic and pathologic data were collected and analyzed.

RESULTS: In 120 asymptomatic women, 68 malignancies and 52 benign findings were detected with mammography and ultrasound. The mean age for patients with malignancy was 58.6 years. According BI-RADS classification for mammography the distribution is our group was: BI-RADS 3 was presented in 6 (8.82%) patients, BI-RADS 4 was presented in 56 (82.35%) patients and BI-RADS 5 was present in 6 (8.82%) of the patients. Most wire localizations were performed under mammographic guidance in 58 from 68 patients with malignant lesions (85.29%) and with ultrasound in 10 (14.7%). According the mammographic findings patients with mass on mammograms were 29 (42.65%), mass with calcifications 9 (13.23%), calcifications 20 (29.41%) and architectural distortions or asymmetry 10 (14.71%).

CONCLUSION: Wire localization is a well established technique for the management of impalpable breast lesions.

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Published

2015-05-19

How to Cite

1.
Jakimovska Dimitrovska M, Mitreska N, Lazareska M, Stojovska Jovanovska E, Dodevski A, Stojkoski A. Hook Wire Localization Procedure and Early Detection of Breast Cancer - Our Experience. Open Access Maced J Med Sci [Internet]. 2015 May 19 [cited 2024 Mar. 28];3(2):273-7. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2015.055

Issue

Section

B - Clinical Sciences

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