Ultrasound-guided wire localization of lesions detected on screening mammography in Osogbo, Nigeria and its impact on breast conservative surgery

Ann Afr Med. 2012 Apr-Jun;11(2):91-5. doi: 10.4103/1596-3519.93531.

Abstract

Background: Wire localization for planned surgical treatment in the management of breast cancer is underutilized in our environment. The objective of this study is to assess the role of ultrasound-guided wire localization of breast masses detected on screening mammography and its impact on biopsy and breast conservative surgery in our environment.

Materials and methods: A prospective study of 189 women who presented for screening mammography following a health campaign on breast cancer within a six-month period. Wire localization for mammographic detected lesions was done under ultrasound guidance. The lesions excised were sent for specimen radiography and histology.

Results: Ten women had wire localization of breast lesions and subsequent excision. Three lesions were on the right and 7 on the left; out of which 3 were malignant. The mean volume of excised tissue was 74.27 ± 30.16 cm(3).

Conclusion: Early detection of breast cancer is possible and practicable in our environment. Wire localization of detectable lesions on mammography will assist in better surgical management and improve prognosis.

MeSH terms

  • Adult
  • Biopsy, Fine-Needle
  • Breast Diseases / diagnostic imaging*
  • Breast Diseases / pathology
  • Breast Diseases / surgery
  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / surgery
  • Early Detection of Cancer
  • Female
  • Humans
  • Mammography / instrumentation
  • Mammography / methods*
  • Mass Screening
  • Mastectomy, Segmental
  • Middle Aged
  • Nigeria
  • Prospective Studies
  • Sensitivity and Specificity
  • Ultrasonography, Mammary / instrumentation
  • Ultrasonography, Mammary / methods*