The comparison of excisionel biopsies between wire-guided and radioguided occult lesion localization in nonpalpable breast lesions

• Published in: Journal of clinical and experimental investigations 2011-03, Vol.2 (1), p.55
• Main Author: Karabulut, Kağan
• Format: Article
• Language: English
• Subjects: Biopsy; Breast cancer; Localization
• ISSN: 1309-6621; 1309-6621
• DOI: 10.5799/ahinjs.01.2011.01.0210

Objectives: The development of breast imaging methods increased frequent of nonpalpable breast le-sions. Consequently, diagnosis of early breast cancer increased and breast cancer mortality decreased. Several techniques were described for excisional biopsy of nonpalpable breast lesions. Wire guided local-ization is currently the most commonly used localization method for nonpalpable breast lesions. ROLL is a possible alternative to the commonly used wire guided localization of non palpable breast lesions and ROLL is widespread more and more throughout the world. In this study, wire-guided localization and ROLL were compared for excisional biopsy in nonpalpable breast lesions. Materials and methods: The study was performed on two groups, each containing 30 subjects. We as-sessed radiographical localization time, operative time, volume of the excised specimen, clearance mar-gins, postoperative pain, and hospital stay, cycle time to normal activation, complications, cost-effectiveness, and comfort assessment of each method in terms of surgeon-patient-radiologist between two groups. Results: In both of techniques complete lesions were excised. Statistically there were no significant dif-ferences between two groups in terms of specimen excised volume, operation time, postoperative pain, hospital stay, activate stays (p>0.05). Conclusion: ROLL is a reliable alternative to the wire guided localization.