Localization and excision of nonpalpable breast lesions. A surgical evaluation of three methods
J. G. Tinnemans, T. Wobbes, J. H. Hendriks, R. F. van der Sluis, E. J. Lubbers and H. H. de Boer
Three methods of excising nonpalpable breast lesions have been evaluated:
(1) "blind" method, using mammographic coordinates; (2) preoperative
localization with the Frank needle; and (3) Frank needle localization aided
by a multiperforated compression plate. Successful removal at first attempt
occurred in about 80% with any method. The size of the biopsy specimens did
not differ significantly among the three groups and is most probably a
function of the breast volume. The failure rate was seven (2.1%) of 332
biopsies. Since three of the six repeated biopsies yielded specimens with
malignancy, the persistence of a radiographically suspicious lesion on
follow-up mammogram of the operated-on breast is an urgent indication for
reoperation.
