title: Migration of the guide-wire into the pleural cavity after needle localization of breast lesions.
abstract: The hook-wire is frequently used for pre-operative localization of non-palpable breast lesions. We describe a case where this hook-wire migrated into the pleural cavity, causing paralysis of the ipsilateral phrenic nerve. A thoracoscopic procedure resulted in successful removal of the wire from the chest. Migration of the hook-wire after localization of mammographic lesions is a serious complication for which potential occurrence should be noted.
authors.affiliation: Department of Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
authors.forename: J L
authors.initials: JL
authors.lastname: van Susante
authors.forename: W B
authors.initials: WB
authors.lastname: Barendregt
authors.forename: E D
authors.initials: ED
authors.lastname: Bruggink
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology*; D010791:Phrenic Nerve / Q000503:physiopathology*; D010994:Pleura; D013906:Thoracoscopy