Evaluation of Wire Localization in Management of Non-Palpable Breast Cancer
Hisham Hassan Wagdy, Mohammad Mohammed Bahaa Al-din, Ahmed Gamal Al-din Osman, Sherif Youssif Ahmed, Gad Mohammed Gad, Hatem Elsayed Mohamed Elsayed Hanoura- General Medicine
Abstract
Background
Breast-conserving surgery (BCS) is considered the goldstandard treatment for early breast cancer. Various techniques have been proposed for identifying non-palpable breast tumors, but the most popular method is the wireguided localization (WGL technique). The most important drawback of BCS is the possible presence of microscopic tumor at or close to the margin of excision.
Objective
To highlighting the significance of screening programs, early detection and recent advances in the management of early non palpable breast cancer.
Methods
This is a prospective study on 30 patients with a single nonpalpable breast lesion. A preoperative USG or MMG-guided hook wire localization technique was performed then intraoperative frozen section was done.
Results
Of the prospective study, 30 patients were treated with wire-guided localization and BCS. And intraoperative frozen sections. According to positive margins, patient age, menopausal status, tumor size and histologic type were associated with increased risk of positive margins. The reexcision at the time of original operation was (6/30) (20%) and need for second operation in (1/30) (3.3%) of cases. According to postoperative complication increased by neoadjuvant chemotherapy, size of mass, specimen volume, margin status and LNs affection.
Conclusion
In early diagnosis of breast cancer, the validity of the imagingguided hook wire localization biopsy of non-palpable breast lesions has been proved. The cooperation of surgeon, radiologist and pathologist increases the successful results of hook wire localization technique.