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Open Access Macedonian Journal of Medical Sciences.

http://dx.doi.org/10.3889/oamjms.2015.055

Clinical Science

 

 

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

 

Abstract

 

 

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.

..................

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
- Mitreska N
- Lazareska M
- Stojovska Jovanovska E
- Dodevski A
- Stojkoski A


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- Jakimovska Dimitrovska M
- Mitreska N
- Lazareska M
- Stojovska Jovanovska E
- Dodevski A
- Stojkoski A

 

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