AI Article Synopsis
- Mammography effectively detects breast lesions that are not visible during clinical exams, with underlying breast cancers found in 10% to 47% of such cases.
- A technique using a single rigid needle for pinpointing these hidden lesions under X-ray guidance was applied successfully in 49 patients, ensuring precise location for biopsy.
- The study resulted in the successful removal of all targeted lesions, with a total of 11 invasive and 7 in situ tumors identified, and no complications were reported during recovery.
Article Abstract
Mammography is an effective method for finding lesions of the breast which are occult at clinical examination. For occult lesions biopsy, including as little surrounding tissue as possible, it is necessary that they be located before surgery in order to improve the pathological process and the cosmetic outcome for the patients. Among the clinically occult lesions shown only by mammography, the frequency of breast cancers ranges from 10% to 47%. There are several different techniques for locating hidden lesions of the breast. We have employed the insertion of a single rigid needle into the breast, with X-ray confirmation of correct positioning. Forty-nine patients underwent this technique in our Institution and in all cases we were able to achieve a correct insertion of the needle at the X-ray check (the tip of the needle was less than 1 cm from the lesion). The target lesion was removed (as confirmed by X-ray of the surgical specimen) in all cases at the first attempt. In our study we found 11 invasive and 7 in situ tumours (36%). No complications delaying the surgical biopsy or the recovery of the patients were observed.
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