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Needle Localization of Nonpalpable Breast Masses

Roger Bigelow, MD; Russel Smith, MD; Paul A. Goodman, MD; Gerald S. Wilson, MD
Arch Surg. 1985;120(5):565-569. doi:10.1001/archsurg.1985.01390290045007.
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• A series of 146 women underwent 150 preoperative localizations of mammographically suspicious but nonpalpable breast lesions. The lesions were localized using the hook-wire method of Frank in 133 of these patients. Carcinoma was discovered in 24 (16%) of the women; 18 (75%) of these women had invasive and six women (25%) had noninvasive carcinomas. Sixty-seven patients demonstrated calcification, and of these, 16 patients (24%) turned out to have malignancies. Eighty percent of the cancers were less than 1 cm in diameter, and 38% met the criteria of minimal carcinoma as described by Gallagher and Martin in 1969. Fourteen percent of the patients with carcinoma had lymph node metastases. We conclude that this is a safe, rapid, and accurate method for localizing small, potentially highly curable breast cancers with minimal sacrifice of breast tissue.

(Arch Surg 1985;120:565-569)


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