Hook Wire Localization Procedure and Early Detection of Breast Cancer - Our Experience.
OBJECTIVE
The purpose of this study is to describe our experience with needle localization technique in diagnosing small breast cancers.


METHODS
This retrospective study included a hundred and twenty patients' with impalpable breast lesions and they underwent wire localization. All patients had mammography, ultrasound exam and pathohystological results. We use Mammomat Inspiration Siemens digital unit for diagnosing mammography, machine - Lorad Affinity with fenestrated compressive pad for wire localization and ultrasound machine Acuson X300 with linear array probe 10 MhZ. We use two types of wire: Bard hook wire and Kopans breast lesion localization needle, Cook. Comparative radiologic and pathologic data were collected and analyzed.


RESULTS
In 120 asymptomatic women, 68 malignancies and 52 benign findings were detected with mammography and ultrasound. The mean age for patients with malignancy was 58.6 years. According BI-RADS classification for mammography the distribution is our group was: BI-RADS 3 was presented in 6 (8.82%) patients, BI-RADS 4 was presented in 56 (82.35%) patients and BI-RADS 5 was present in 6 (8.82%) of the patients. Most wire localizations were performed under mammographic guidance in 58 from 68 patients with malignant lesions (85.29%) and with ultrasound in 10 (14.7%). According the mammographic findings patients with mass on mammograms were 29 (42.65%), mass with calcifications 9 (13.23%), calcifications 20 (29.41%) and architectural distortions or asymmetry 10 (14.71%).


CONCLUSIONS
Wire localization is a well established technique for the management of impalpable breast lesions.
University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Maja Jakimovska
MJ
Dimitrovska
University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Nadica
N
Mitreska
University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Menka
M
Lazareska
University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Elizabeta Stojovska
ES
Jovanovska
Institute of Anatomy, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Ace
A
Dodevski
University Clinic of Radiology, Medical Faculty, Ss. Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Aleksandar
A
Stojkoski
BI-RADS classification; breast cancer; mammography; wire localization