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. 2010 Dec;1(4):278-83.
doi: 10.1007/s13193-010-0016-8. Epub 2010 Dec 30.

Presurgical localization of breast abnormalities: an overview and analysis of 202 cases

Mahesh K Shetty

Presurgical localization of breast abnormalities: an overview and analysis of 202 cases

Mahesh K Shetty. Indian J Surg Oncol. 2010 Dec.

Abstract

The purpose of this study was to analyze cases undergoing imaging guided localization prior to surgical excisional biopsy of abnormalities in the breast and to describe the methodology utilized to perform such presurgical localization procedures. Presurgical localization of non palpable breast abnormalities is a simple, safe and effective procedure; it is now used more selectively for this indication due to availability of minimally invasive percutaneous biopsy procedures that can be performed under ultrasound or stereotactic guidance.

Keywords: Breast; Mammography; Presurgical localization; Sonography.

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Figures

Fig 1
Fig 1
Mammographic presurgical localization for clustered micorcalcifications that were histologically proven to be DCIS. a Craniocaudal view with breast under compression with an alphanumeric grid showing micorcalcifications at 6D coordinates b Craniocaudal view with breast under compression with an alphanumeric grid and needle wire in satisfactory position c Mediolateral view confirming satisfactory placement of the needle wire d Mediolateral view following showing satisfactory deployment of the wire e Craniocaudal view showing satisfactory position of the wire f Specimen radiograph showing the wire adjacent to the localized microcalcifications
Fig 2
Fig 2
Mammographic presurgical localization for a mass that was histologically proven to be a Fibroadenoma a Craniocaudal view showing the mass b Mediolateral view showing the mass c Mediolateral view with breast under compression in a fenestrated paddle with an alphanumeric grid d Craniocaudal view with satisfactory placement of the needle wire e Craniocaudal view showing satisfactory position of the wire f Specimen radiograph showing the wire adjacent to the localized mass
Fig. 3
Fig. 3
Ultrasound guided presurgical needle localization. Image showing the hookwire passing through the solid mass that was preoperatively localized and was histologically proven to be a Fibroadenoma
See this image and copyright information in PMC

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