title: X-ray and ultrasound localization of non-palpable breast lesions and difficulties in management.
abstract: Seventy-four patients who have had biopsy of a non-palpable breast lesion are reviewed. A double-dye localization technique was used in 88% while in 12% localization of the lesion was best achieved by ultrasound mammography. Biopsy was successful in 70 patients (95%) at the first attempt. The overall incidence of malignancy was 20%, being greater in asymptomatic patients (32%) than in patients with mastalagia (16%). Re-excision of the biopsy site in these patients showed residual cancer in 33%. It is suggested that both careful examination of the operative specimen and postoperative mammography may be necessary to ensure that the original lesion has been removed. Re-excision of the biopsy site appears to be necessary when the histology is malignant.
authors.affiliation: University Surgical Unit, Southampton General Hospital.
authors.forename: J J
authors.initials: JJ
authors.lastname: Tate
authors.forename: G T
authors.initials: GT
authors.lastname: Royle
authors.forename: P
authors.initials: P
authors.lastname: McDonald
authors.forename: P B
authors.initials: PB
authors.lastname: Guyer
authors.forename: I
authors.initials: I
authors.lastname: Taylor
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D014463:Ultrasonography