Open Access Macedonian Journal of Medical Sciences.
http://dx.doi.org/10.3889/oamjms.2015.055
Clinical Science
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Hook Wire Localization Procedure
and Early Detection of Breast Cancer - Our Experience
Maja Jakimovska Dimitrovska1*, Nadica Mitreska1,
Menka Lazareska1, Elizabeta Stojovska Jovanovska1, Ace
Dodevski2, Aleksandar Stojkoski1
1University Clinic of Radiology, Medical Faculty, Ss. Cyril and
Methodius University of Skopje, Skopje, Republic of Macedonia; 2Institute
of Anatomy, Medical Faculty, Ss. Cyril and Methodius University of Skopje,
Skopje, Republic of Macedonia
AIM: The purpose of this study is to describe our experience with
needle localization technique in diagnosing small breast cancers.
MATERIAL AND 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%).
CONCLUSION: Wire localization is a well established technique for the
management of impalpable breast lesions.
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Citation: Jakimovska Dimitrovska M, Mitreska
N, Lazareska M, Stojovska Jovanovska E, Dodevski A, Stojkoski A. Hook Wire
Localization Procedure and Early Detection of Breast Cancer - Our
Experience. OA Maced J Med Sci. http://dx.doi.org/10.3889/oamjms.2015.055
Key words: mammography; BI-RADS classification; wire localization;
breast cancer.
*Correspondence: Maja Jakimovska Dimitrovska, MD. University Clinic
of Radiology, Belgradska bb 1000 Skopje, Republic of Macedonia. Tel: ++389
75 605 734. E-mail: maja.jakimovska@hotmail.com
Received: 24-Apr-2015; Revised: 06-May-2015; Accepted: 07-May-2015; Online
first: 19-May-2015
Copyright: © 2015 Maja Jakimovska Dimitrovska, Nadica Mitreska, Menka
Lazareska, Elizabeta Stojovska Jovanovska, Ace Dodevski, Aleksandar
Stojkoski. This is an open access article distributed under the terms of the
Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original author
and source are credited.
Competing Interests: The authors have declared that no competing
interests exist.
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Jakimovska Dimitrovska M
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Mitreska N
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Lazareska M
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Stojovska Jovanovska E
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Dodevski A
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Stojkoski A
PubMed
- Jakimovska Dimitrovska M
- Mitreska N
- Lazareska M
- Stojovska Jovanovska E
- Dodevski A
- Stojkoski A
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