J Korean Radiol Soc.  1998 Mar;38(3):553-558. 10.3348/jkrs.1998.38.3.553.

Usefulness of Stereotactic Localization of Nonpalpable Breast Lesions

• Huh SK
• Yoon JH
• Lee KH
• Jeong HW
• Jang JB
• Kim SH
• Kim CS

• KMID: 2201419
• DOI: http://doi.org/10.3348/jkrs.1998.38.3.553

Abstract

PURPOSE: To evaluate the usefulness of stereoscopic localization of nonpalpable breast lesions.
MATERIALS AND METHODS
The authors retrospectively analyzed 60 cases of stereotactic localization performed for lesions whichwere mammographically visible but not palpable. Each case was reviewed for chief complaint, indication oflocalization on a mammograph, location of the lesion, pathological diagnosis, and complications during and afterthe procedure.
RESULTS
Most patients(75%) had no specific complaint. Among the 60 cases, microcalcification,mass and combined lesions were found in 34(57%), 12(20%), and 14 cases(23%), respectively. The most commonlocation of the lesion was the upper outer quadrant(29 cases). A histopathologic report was available in 56 of 60cases. Among 43 benign cases(76.8%), fibrocystic disease was most common(38 cases, 67.9%), while among 13malignant cases, ductal carcinoma was most common(9 cases, 16.1%). In four of 56 cases(7.1%), failure to removethe target lesion was identified. Retrospective analysis suggests that movement of the patient during theprocedure is the most likely cause of failure. There were no major complications.
CONCLUSION
Stereotacticlocalization is simple and accurate, and compared with the conventional method, requires less experience on thepart of the practitioner. Movement of the patient during the procedure may be the major cause of failure.

Keyword

Breast, diseases; Breast neoplasms, localization; Stereotaxis

MeSH Terms

Breast*
Carcinoma, Ductal
Diagnosis
Humans
Retrospective Studies

Figure

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  Fig. 1. A. Stereograph shows clustered microcalcifications on right subareolar region. Note symmetry of hyperlucent area(open arrows) and radiopaque strip(arrows) on both sides, which represent fenestration in compression plate and edge of the plate respectively. B. Stereograph obtained after placing the needle with curved-wire. Needle tip is well located to the lesion. C. Specimen radiograph reveals clustered microcalcifications within excised specimen. Pathologic diagnosis was ductal carcinoma.

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