Image-Guided Pre-Operative Localisation of Impalpable #BreastLesions: Analysis of the Hook-Wire Localisation Technique by Marita K Prior in BJSTR

Abstract

Introduction: Hook-wire #localisation (HWL) under #sonographic, #tomosynthesis or MRI guidance is the most common technique used to localize impalpable breast lesions. We retrospectively review and discuss HWL success and complication rate, and the number of breast lesions that required re-excision at our institution. We compare our results with other centres, identifying alternative methods for localizing impalpable #breastlesions.

Methods: The medical records of 141 patients who underwent HWL at our institution over a 36 month period were retrospectively reviewed. Only impalpable lesions were targeted. Post-surgical specimen radiography was performed to verify retrieval of the target and wire, and to radio logically assess surgical margins. #Surgicalmargins were deemed positive if malignancy extended to the edge of specimen, and close if #malignancy extended to less than 3mm.

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Image-Guided Pre-Operative Localisation of Impalpable #BreastLesions: Analysis of the Hook-Wire Localisation Technique by Marita K Prior in BJSTR