title: Intraoperative ultrasound-guided breast biopsy.
abstract: BACKGROUND
  Biopsy of nonpalpable lesions has increased during the last decade. Commonly these lesions are excised using preoperative wire localization. We describe a technique of intraoperative ultrasound-guided breast biopsy that allows easier excision and aids in obtaining surgical margins in breast cancer.
  
  
  METHODS
  Intraoperative ultrasound was performed on 81 lesions. Ultrasound was used in an attempt to approximate a 1 cm margin on malignant lesions.
  
  
  RESULTS
  All attempts to localize lesions with ultrasound in surgery were successful (81 of 81). Ultrasound-guided surgery was accurate in predicting margins in 24 of 25 malignant lesions. No complications resulted.
  
  
  CONCLUSIONS
  Ultrasound proved to be an effective technique for localizing and excising breast lesions. Benefits may include improving patient comfort, avoiding complications of needle localization breast biopsy, and simplifying the scheduling of surgical procedures. Additionally, this procedure may be used to obtain adequate surgical margins and thus reduce the recurrence rate of breast cancer.
authors.affiliation: Department of Surgery, Division of Breast Surgical Oncology, University of Arkansas for Medical Sciences, John L. McClellan Memorial Veterans Hospital, Little Rock, Arkansas, USA
authors.forename: L F
authors.initials: LF
authors.lastname: Smith
authors.forename: I T
authors.initials: IT
authors.lastname: Rubio
authors.forename: R
authors.initials: R
authors.lastname: Henry-Tillman
authors.forename: S
authors.initials: S
authors.lastname: Korourian
authors.forename: V S
authors.initials: VS
authors.lastname: Klimberg
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000379:methods; D001943:Breast Neoplasms / Q000473:pathology*; D005260:Female; D018226:Fibroadenoma / Q000473:pathology*; D006801:Humans; D007432:Intraoperative Period; D008875:Middle Aged; D016217:Ultrasonography, Mammary