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Diagnostic and therapeutic aspects of fine-wire localization biopsy for impalpable breast cancer.
Br J Surg. 1992 Oct; 79(10):1038-41.BJ

Abstract

During the first 2 years (July 1989 to July 1991) of the Avon Breast Screening Service, fine-wire localization biopsy was indicated in 213 impalpable breast lesions. A total of 144 lesions were benign and 69 malignant. Only four of 213 lesions (1.9 per cent) were not excised at the first localization. Factors influencing reoperation in the 69 patients with malignant impalpable lesions were examined. There was a significant association (P < 0.001) between parenchymal disturbances on mammography and invasive carcinoma, and between non-invasive carcinoma and microcalcification (P < 0.001). In 31 patients the localization biopsy was the only surgical procedure. Thirty-eight patients required further surgery: 12 underwent further local excision and 26 mastectomy. Reoperation was more frequent in patients with calcification than in those with parenchymal disturbance (P < 0.001). The most frequent indications for mastectomy were inadequate excision of widespread comedo ductal carcinoma in situ or invasive ductal carcinoma combined with extensive ductal carcinoma in situ. Fine-wire localization biopsy was a combined therapeutic and diagnostic procedure in 31 of 69 women with impalpable screen-detected lesions. The majority of patients required further surgery because radiological abnormalities underestimated the extent of disease.

Authors+Show Affiliations

Department of Surgery, Bristol Royal Infirmary, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1330196

Citation

Hastrich, D J., et al. "Diagnostic and Therapeutic Aspects of Fine-wire Localization Biopsy for Impalpable Breast Cancer." The British Journal of Surgery, vol. 79, no. 10, 1992, pp. 1038-41.
Hastrich DJ, Dunn JM, Armstrong JS, et al. Diagnostic and therapeutic aspects of fine-wire localization biopsy for impalpable breast cancer. Br J Surg. 1992;79(10):1038-41.
Hastrich, D. J., Dunn, J. M., Armstrong, J. S., Davies, J. D., Davies, Z. D., Webb, A. J., & Farndon, J. R. (1992). Diagnostic and therapeutic aspects of fine-wire localization biopsy for impalpable breast cancer. The British Journal of Surgery, 79(10), 1038-41.
Hastrich DJ, et al. Diagnostic and Therapeutic Aspects of Fine-wire Localization Biopsy for Impalpable Breast Cancer. Br J Surg. 1992;79(10):1038-41. PubMed PMID: 1330196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic and therapeutic aspects of fine-wire localization biopsy for impalpable breast cancer. AU - Hastrich,D J, AU - Dunn,J M, AU - Armstrong,J S, AU - Davies,J D, AU - Davies,Z D, AU - Webb,A J, AU - Farndon,J R, PY - 1992/10/1/pubmed PY - 1992/10/1/medline PY - 1992/10/1/entrez SP - 1038 EP - 41 JF - The British journal of surgery JO - Br J Surg VL - 79 IS - 10 N2 - During the first 2 years (July 1989 to July 1991) of the Avon Breast Screening Service, fine-wire localization biopsy was indicated in 213 impalpable breast lesions. A total of 144 lesions were benign and 69 malignant. Only four of 213 lesions (1.9 per cent) were not excised at the first localization. Factors influencing reoperation in the 69 patients with malignant impalpable lesions were examined. There was a significant association (P < 0.001) between parenchymal disturbances on mammography and invasive carcinoma, and between non-invasive carcinoma and microcalcification (P < 0.001). In 31 patients the localization biopsy was the only surgical procedure. Thirty-eight patients required further surgery: 12 underwent further local excision and 26 mastectomy. Reoperation was more frequent in patients with calcification than in those with parenchymal disturbance (P < 0.001). The most frequent indications for mastectomy were inadequate excision of widespread comedo ductal carcinoma in situ or invasive ductal carcinoma combined with extensive ductal carcinoma in situ. Fine-wire localization biopsy was a combined therapeutic and diagnostic procedure in 31 of 69 women with impalpable screen-detected lesions. The majority of patients required further surgery because radiological abnormalities underestimated the extent of disease. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/1330196/Diagnostic_and_therapeutic_aspects_of_fine_wire_localization_biopsy_for_impalpable_breast_cancer_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=0007-1323&amp;date=1992&amp;volume=79&amp;issue=10&amp;spage=1038 DB - PRIME DP - Unbound Medicine ER -