PREBIOPSY NEEDLE LOCALIZATION OF NONPALPABLE BREAST LESION
AYŞENUR MEMİŞ1, E EMİN ÜSTÜN1, ŞEBNEM ÖRGÜÇ1, AHMET ELDEM2, ORHAN ÖZBAL2, NECMETTİN ÖZDEMİR3, YILDIZ ERHAN3
1Ege Üniversitesi Tıp Fakültesi, Radyodiagnostik ABD, Bornova/İZMİR
2Ege Üniversitesi Tıp Fakültesi, Cerrahi ABD, İZMİR
3Ege Üniversitesi Tıp Fakültesi, Patoloji ABD, İZMİR
Abstract
The use of mammography and complimentary ultrasound has resulted in 73 breast biopsies after needle localization for nonpalpable breast abnormalities in a 5 year period. Mammography has been used in 53 cases, and ultrasound in 20 as a guide to the localization. A total of 21 malignant lesions (29%) were found. 11 of cases (52%) were in situ and 10 (48%) were invasive cancers. Mammographic findings which led to the prebiopsy localization were microcalcifications, mass lesion or asymetric density. The positive biopsy rate was high for spicular and irregular masses, and strongly suspicious calcifications. No cancer were found among well-defined masses or asymetric densities. In conclusion, breast imaging provides an advantage to detect and localize early malignancies in nonpalpable stages.