Needle localization and surgical management of occult breast lesions.
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Percutaneous needle placement before biopsy is a simple method of localizing occult breast lesions found by mammography. A biopsy of the exact area within the breast is done. Specimen radiography assures that the correct area is included for histologic study.
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The purpose of this study was to review the results of mammographic wire-guided biopsies of nonpalpable breast lesions and the features of the lesions in the preoperative examinations. Sixty women, mean age 50.2 years (range 31 to 74), underwent a wire-guided biopsy of the lesion. Twenty-nine patients had preoperative fine needle aspiration of the lesion. The radiographic diagnosis was correct in 33 patients (55%); 25 had breast cancer and 8 patients had a benign lesion. In 9 of the 14 patients with clustered microcalcifications in mammography and in 13 of the 15 patients with a mass noted in mammography, the cytological examination was correct. Nonpalpable mammographic masses with regular borders and normal fine needle aspiration examination do not require biopsy. In malignant mammographic appearances associated with a normal fine needle aspiration examination, biopsy of the lesion should always be done.
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Journal Article Specimen Radiography—A Mandatory Adjunct to Mammography Get access Donald E. Bauermeister, M.D., Donald E. Bauermeister, M.D. Sections of Pathology and Radiology, Virginia Mason Medical Center, Seattle, Washington 98101 Search for other works by this author on: Oxford Academic Google Scholar McClure H. Hall, M.D. McClure H. Hall, M.D. Sections of Pathology and Radiology, Virginia Mason Medical Center, Seattle, Washington 98101 Search for other works by this author on: Oxford Academic Google Scholar American Journal of Clinical Pathology, Volume 59, Issue 6, 1 June 1973, Pages 782–789, https://doi.org/10.1093/ajcp/59.6.782 Published: 01 June 1973 Article history Received: 15 September 1972 Accepted: 04 October 1972 Published: 01 June 1973
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Contralateral breast cancer can be synchronous and/or metachronous in patients with cancer of one breast. Detection of a synchronous breast cancer may affect patient management. Dynamic contrast-enhanced MRI of the breast (DCE-MRI) is a sensitive technique for detecting contralateral lesions occult on the other imaging modalities in women already diagnosed with cancer of one breast.The aim was to assess the incidence of mammographically occult synchronous contralateral breast cancer in patients undergoing MRI mammography for the evaluation of a malignant breast lesion.A total of 294 patients with recently diagnosed breast cancer who underwent MRI of the breast were evaluated for lesions in the opposite breast.The incidence of synchronous contralateral malignancy detected by preoperative MRI mammography done for evaluation of extent of disease was 4.1%.Preoperative breast MRI may detect clinically and mammographically occult synchronous contralateral cancer, and can help the patient avoid an additional second surgery or a second course of chemotherapy later; also, as theoretically these lesions are smaller, there may be a survival benefit as well.
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MRI of Occult Breast Carcinoma in a High-Risk PopulationElizabeth A. Morris1, Laura Liberman1, Douglas J. Ballon2, Mark Robson3, Andrea F. Abramson1, Alexandra Heerdt4 and D. David Dershaw1Audio Available | Share
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