[Comparison of wire versus carbon localization of non-palpable breast lesions].
OBJECTIVE
To compare the accuracy of wire and carbon localization in stereotactically localized open breast biopsy.


METHODS
From June 1995 to December 1997, a total of 725 stereotactic wire or carbon dye localizations were performed in 698 female patients. Success of localization was evaluated either by a malignant histopathological diagnosis or by mammographic follow-up. A lesion was considered to be missed if it could be still seen on follow-up mammography.


RESULTS
In 703 of 725 cases, the success of localization could be evaluated with 427 (61 %) lesions localized with a wire and 276 (39 %) with carbon. Seven (1 %) out of 703 lesions were missed at open biopsy. Three lesions of these had been localized with wire and three lesions with carbon. The miss rates were 0.9 % and 1.1 %, respectively (p = 1.0).


CONCLUSIONS
Both wire and carbon localization are reliable and accurate in the localization of non-palpable breast lesions. Concerning efficiency and costs, carbon dye seems to offer a promising compromise.
Riedl
C C
CC
Universitätsklinik für Radiodiagnostik, Universität Wien. christopher.riedl@univie.ac.at
Pfarl
G
G
Helbich
T H
TH
Memarsadeghi
M
M
Wagner
T
T
Rudas
M
M
Fuchsjäger
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy / Q000295:instrumentation*; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D002244:Carbon; D003937:Diagnosis, Differential; D005260:Female; D005348:Fibrocystic Breast Disease / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008327:Mammography / Q000295:instrumentation*; D008875:Middle Aged; D011677:Punctures / Q000295:instrumentation*; D015203:Reproducibility of Results
D002244:Carbon