[The role of preoperative hooked-wire localization of occult lesions for early detection of breast cancer].
OBJECTIVE
Nonpalpable small lesions, usually few millimeters in diameter, consist an important problem in the early diagnostics of breast cancer.


METHODS
An aim of this paper was an evaluation of usefulness of preoperative hooked-wire localization of such lesions for the detection of breast cancer.


METHODS
Material consisted of 131 patients aged 37-77 in whom 132 procedures of preoperative hooked-wire localization were performed. The correlation between the mammographic findings and the cytologic or histologic results were then evaluated, with the histologic results being treated as standard.


RESULTS
Histologic examination of the localized lesions revealed benign changes in 71.2%, atypical ductal hyperplasia in 4.6% and cancer in 24.2%. Positive predictive value for mammography was 24%. Significant correlation was seen between the suspicion of cancer in mammography and the histologic results.


CONCLUSIONS
Preoperative localization should be used as a method of choice in radial lesions, suspected clustered microcalcifications and after the positive result from SFAB.
Szabo-Moskal
Jadwiga
J
Katedra i Zakład Radiologii i Diagnostyki Obrazowej Akademii Medycznej im. Ludwika Rydygiera w Bydgoszczy. biuro@radiologia.bydgoszcz.pl
Lasek
Władysław
W
Kozłowska
Róza
R
Sir
Jan
J
Serafin
Zbigniew
Z
D000328:Adult; D000368:Aged; D001707:Biopsy, Needle / Q000379:methods*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002278:Carcinoma in Situ / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012680:Sensitivity and Specificity