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Needle-localised biopsy of impalpable breast lesions: a novel adjunct to surgical technique and specimen mammography.

Authors
  • Power, C
  • Kavanagh, D
  • Hill, A D K
  • O'Doherty, A
  • O'Higgins, N
  • McDermott, E
Type
Published Article
Journal
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Publication Date
Dec 01, 2004
Volume
2
Issue
6
Pages
343–345
Identifiers
PMID: 15712575
Source
Medline
License
Unknown

Abstract

Successful screening programmes have resulted in the more frequent detection of early impalpable breast tumours. Effective surgical management of impalpable lesions demands a precise approach to excision which is currently aided by radiologically guided needle-localisation of the lesion prior to operative removal. The surgical specimen procured is most commonly evaluated for tumour presence by specimen mammography intra-operatively or by histological analysis. The latter is more accurate but requires lengthy laboratory processing, which may result in re-operation if the primary excision is inadequate. Although advocated as the standard of care, specimen mammography remains an imperfect technique. In this article we describe a piece of surgical apparatus which attempts to address some of the concerns associated with specimen mammography. It is an inexpensive compression device which reduces operative time, avoids portable fluoroscopy, increased radiation and the necessity for specialised equipment

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