Application of mammography-guided wire-localization biopsy in the diagnosis of nonpalpable breast lesion
Author(s): WEI Wen-jun, TAO Lin-yu, QI Ke, WANG Yu-rong, ZENG Feng-hao, HUANG Yin-ping, ZHANG Hao-yun, FENG Duo
Pages: 559-562
Year: 2013 Issue: 5
Journal: Journal of Southeast University (Medical Science Edition)
Keyword: nonpalpable breast lesion; mammography; wire-localization biopsy; early diagnosis of breast cancer;
Abstract: Objective:To explore the value of mammography-guided wire-localization biopsy in the diagnosis of nonpalpable breast lesion .Methods: Mammography-guided wire-localization biopsy and pathological examination were performed in 52 cases of breast suspicious lesions which were detected by mammography , but were nonpalpable in clinic and negative in B ultrasound .Results: All of 52 cases were successfully localized at first time.Sixteen cases of malignant lesions were detected , including 7 cases of infiltrating ductal carcinoma , 6 cases of ductal carcinoma in situ , 2 cases of intraductal carcinoma with early invasion , 1 cases of invasive lobular cancer;Thirty-six cases were diagnosed as benign lesions , including 15 cases of breast hyperplasia , 7 cases of fibroadenoma , 5 cases of mild to moderate atypical hyperplasia , 4 cases of inflammatory lesions , 3 cases of intraductal papilloma , 2 cases of mammary duct ectasia .The rate of breast cancer detected was 30 .8%, and the diagnostic accuracy was 100%.Conclusion: Mammography-guided wire-localization biopsy is an accurate , safe and feasible method , which can effectively improve the accuracy of excision biopsy for non-palpable breast lesions , and promote to detect early breast cancer .
Pages: 559-562
Year: 2013 Issue: 5
Journal: Journal of Southeast University (Medical Science Edition)
Keyword: nonpalpable breast lesion; mammography; wire-localization biopsy; early diagnosis of breast cancer;
Abstract: Objective:To explore the value of mammography-guided wire-localization biopsy in the diagnosis of nonpalpable breast lesion .Methods: Mammography-guided wire-localization biopsy and pathological examination were performed in 52 cases of breast suspicious lesions which were detected by mammography , but were nonpalpable in clinic and negative in B ultrasound .Results: All of 52 cases were successfully localized at first time.Sixteen cases of malignant lesions were detected , including 7 cases of infiltrating ductal carcinoma , 6 cases of ductal carcinoma in situ , 2 cases of intraductal carcinoma with early invasion , 1 cases of invasive lobular cancer;Thirty-six cases were diagnosed as benign lesions , including 15 cases of breast hyperplasia , 7 cases of fibroadenoma , 5 cases of mild to moderate atypical hyperplasia , 4 cases of inflammatory lesions , 3 cases of intraductal papilloma , 2 cases of mammary duct ectasia .The rate of breast cancer detected was 30 .8%, and the diagnostic accuracy was 100%.Conclusion: Mammography-guided wire-localization biopsy is an accurate , safe and feasible method , which can effectively improve the accuracy of excision biopsy for non-palpable breast lesions , and promote to detect early breast cancer .
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