title: Does preoperative needle localization lead to an increase in local breast cancer recurrence?
abstract: Between 1978 and 1981, 74 women with nonpalpable breast cancer underwent surgery after localization guides were placed. In 72 patients, guides were introduced parallel to the chest wall; in two the needle was positioned anteroposteriorly under computed tomographic guidance. Fifty-six cases (76%) were infiltrating cancer; 13 (17%), intraductal cancers; two (3%), inflammatory; and three (4%), lobular carcinoma in situ. Surgery was not used to treat the latter five patients. In the remaining 69 women, 42 (61%) were treated by means of modified radical mastectomy; six (9%), total mastectomy; 12 (17%), local excision and radiation therapy; and seven (10%), local excision alone; exact therapy for two women (3%) was unknown. At a minimum follow-up of 5 years, none of the 67 women in whom the parallel approach was used had a local recurrence. The authors conclude that preoperative placement of guides parallel to the chest wall does not appear to increase the risk of local breast cancer recurrence.
authors: Department of Radiology, Massachusetts General Hospital, Boston 02114.
authors: D B
authors: DB
authors: Kopans
authors: W J
authors: WJ
authors: Gallagher
authors: C A
authors: CA
authors: Swann
authors: K A
authors: KA
authors: McCarthy
authors: G
authors: G
authors: White
authors: D A
authors: DA
authors: Hall
authors: W C
authors: WC
authors: Wood
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008327:Mammography; D009339:Needles; D009364:Neoplasm Recurrence, Local / Q000209:etiology; D009366:Neoplasm Seeding; D010173:Palpation; D012307:Risk Factors