[Preoperative localization of asymptomatic breast lesions by the technique of stereotaxic tattooing and use of a wire. Apropos of 670 cases].
OBJECTIVE
To compare the quality of pre-operative analysis of sub-clinical lesions of the breast using a wire and stereotaxic tattooing.


METHODS
Between 1983 en 1990, 670 cases were analysed. At first needle or wire localisation techniques were used and then from 1988 onwards stereotaxic tattooing, first with the wire technique combined with it and later by itself from 1989 onwards. PLACE STUDY CARRIED OUT: Oscar-lambret Centre in the Department of Surgery and Radiodiagnosis I, BP 307, Lille Cedex.


RESULTS
190 carcinomas were diagnosed (30.7%) of which 20 were micro-invasive and 46 carcinoma in situ. The efficiency of the analysis was evaluated according to the number of explorations that were necessary to remove healthy tissue around the lesion. The wire technique results were significantly different (15.43% = 339 cases), tattooing with wire (9.13% = 144 cases), and tattooing by itself (6.30% = 135 cases).


CONCLUSIONS
It seems that pre-operative assessment using stereotaxic tattooing is the most reliable of methods because it allows limited excision of the lesion and a more aesthetic approach.
Delporte
P
P
Service de Gynécologie, Centre Hospitalier de Dunkerque.
Laurent
J C
JC
Cambier
L
L
D001707:Biopsy, Needle / Q000379:methods*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D002277:Carcinoma / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008327:Mammography / Q000379:methods*; D008408:Mastectomy; D011300:Preoperative Care; D011446:Prospective Studies
Repérage pré-opératoire des lésions mammaires infracliniques par la technique du tatouage stéréotaxique et du "harpon". A propos de 670 observations.