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G. Melvin Stevens, MD; Robert W. Jamplis, MD

AMA Arch Surg. 1971;102(4):292-295.

Abstract
The clinically occult, mammographically detected suspicion of carcinoma requires a surgical biopsy, but to successfully accomplish this, cooperation of the radiologist and surgical pathologist are vital. First, a "map" indicating the optimal site of biopsy must be prepared with allowance made for the difference between the mammographic and surgical positions. Roentgenographic confirmation of removal of the suspicious area by use of special roentgenography equipment and film is required. By "bread loafing" the specimen, followed by repeat roentgenography, the exact site of the lesion may be localized and excised for optimum pathological assessment. Only by this cooperative effort is accurate diagnosis accomplished. An effective technique has evolved during biopsy of over 100 clinically occult lesions.

Author Affiliations
Palo Alto, Calif

From the departments of radiology (Dr. Stevens) and thoracic surgery (Dr. Jamplis), Palo Alto Clinic, and Stanford University School of Medicine, Palo Alto, Calif.

Footnotes
Accepted for publication Dec 15, 1970.

Read before the 78th annual meeting of the Western Surgical Association, Colorado, Springs, Colo, Nov 19, 1970.

Reprint requests to Department of Radiology, Palo Alto Clinic, 300 Homer Ave, Palo Alto, Calif 94301 (Dr. Stevens).

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