Clinical application of preop erative ultrasound-guided guide-wire localization in diagnosing tiny breast lesions

VernacularTitle:超声引导下乳腺小微病灶导丝定位的临床应用
Author: Wei WEI ; Hong AI ; Litao RUAN
Publication Type:Journal Article
Keywords: ultrasound guidance; tiny breast lesion; guide-wire localization
From: Journal of Interventional Radiology 2015;(7):629-631
CountryChina
Language:Chinese
Abstract: Objective To discuss the clinical application of ultrasound-guided preoperative guide-wire localization in diagnosing tiny breast lesions. Methods A total of 56 patients with impalpable tiny breast lesions were enrolled in this study. Preoperative guide-wire localization of the lesion was performed under high-frequency ultrasound guidance, which was followed by tracking resection of the lesion. The clinical data were retrospectively analyzed. Results Successful localization and complete resection of the lesion was accomplished in all 56 patients. The lesions included invasive ductal carcinoma (n=11), intraductal carcinoma (n=5), ductal carcinoma in situ (n=2), mucinous carcinoma (n=2), fibroadenoma (n=24), atypical hyperplasia (n=6), intraductal papilloma (n=4) and plasma-cell mastitis (n=2). Conclusion Ultrasound-guided preoperative guide-wire localization is a safe and reliable technique for the diagnosis of impalpable tiny breast lesions. It can precisely localize the lesion, which is very helpful for making a complete resection of the lesion and avoiding unnecessary breast injury. Therefore, this technique should be recommended in clinical practice.