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Maj David R. Arbutina, MC; Bradley K. Cruz, MD; Maj Clarke T. Harding, MC; Maj Margie W. Cornwell, MC

Arch Surg. 1992;127(4):421-423.

Abstract
• A prospective study (protocol SG 89-150) was undertaken to determine the role of mammographically guided fine-needle aspirations in the diagnosis and subsequent surgical treatment of nonpalpable, mammographically detected breast cancers. During this study, once a diagnosis of cancer based on mammographically guided fine-needle aspiration was established, a wide segmental excision was performed to attempt to eradicate local disease. Surgical margins free of tumor were obtained in all cases. Total excision of these small lesions permitted in-depth histopathologic evaluation of the specimens. This led to the discovery that even the earliest detectable breast cancers may have extensive involvement of the surrounding breast tissue, which is vital information for planning complete therapy for the patient with breast cancer.

(Arch Surg. 1992;127:421-423)

Author Affiliations
USAF; USAF; USAF

From the Departments of Surgery (Dr Arbutina), Radiology (Dr Cruz), and Pathology (Drs Harding and Cornwell), David Grant USAF Medical Center, Travis Air Force Base, Calif.

Footnotes
Accepted for publication November 29, 1991.

The views expressed in this article are those of the authors and do not reflect the official policy or position of the US government, the Department of Defense, or the Department of the Air Force.

Reprint requests to Department of Surgery, David Grant USAF Medical Center, Travis AFB, CA 94535-5300 (Maj Arbutina).

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