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. 1987 May;205(5):520–528. doi: 10.1097/00000658-198705000-00010

Management of nonpalpable breast abnormalities.

R E Symmonds Jr, J W Roberts
PMCID: PMC1493042  PMID: 3579400

Abstract

From January 1982 to June 1986, 444 patients had localization of 500 nonpalpable mammographically suspicious lesions using the Kopans hook wire technique. Four hundred ninety-nine biopsies were performed in 443 patients. Cancer was identified in 12% of the biopsies performed for a suspicious mass or density and in 20% of biopsies performed for suspicious calcifications. Carcinoma was identified in a total of 72 biopsies (14%) performed in 65 patients; 82% of the malignant lesions were invasive. All lesions were small; 76% of the cancers were 1.0 cm or less in diameter. Sixty-two axillary dissections were performed of which seven (11%) had positive nodes. Advantages of preoperative needle localization include precise localization of the lesion, a small incision, and removal of a small amount of breast tissue with no cosmetic deformity. Outpatient biopsy of these lesions can be easily performed under local anesthesia. Identification and treatment of these small preclinical cancers should lead to improved survival from breast cancer.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bedwani R., Vana J., Rosner D., Schmitz R. L., Murphy G. P. Management and survival of female patients with "minimal" breast cancer: as observed in the long-term and short-term surveys of the American College of Surgeons. Cancer. 1981 Jun 15;47(12):2769–2778. doi: 10.1002/1097-0142(19810615)47:12<2769::aid-cncr2820471202>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
  2. Bigelow R., Smith R., Goodman P. A., Wilson G. S. Needle localization of nonpalpable breast masses. Arch Surg. 1985 May;120(5):565–569. doi: 10.1001/archsurg.1985.01390290045007. [DOI] [PubMed] [Google Scholar]
  3. Gisvold J. J., Martin J. K., Jr Prebiopsy localization of nonpalpable breast lesions. AJR Am J Roentgenol. 1984 Sep;143(3):477–481. doi: 10.2214/ajr.143.3.477. [DOI] [PubMed] [Google Scholar]
  4. Homer M. J., Smith T. J., Marchant D. J. Outpatient needle localization and biopsy for nonpalpable breast lesions. JAMA. 1984 Nov 2;252(17):2452–2454. [PubMed] [Google Scholar]
  5. Marrujo G., Jolly P. C., Hall M. H. Nonpalpable breast cancer: needle-localized biopsy for diagnosis and considerations for treatment. Am J Surg. 1986 May;151(5):599–602. doi: 10.1016/0002-9610(86)90561-1. [DOI] [PubMed] [Google Scholar]
  6. Meyer J. E., Kopans D. B., Stomper P. C., Lindfors K. K. Occult breast abnormalities: percutaneous preoperative needle localization. Radiology. 1984 Feb;150(2):335–337. doi: 10.1148/radiology.150.2.6691085. [DOI] [PubMed] [Google Scholar]
  7. Moskowitz M. Minimal breast cancer redux. Radiol Clin North Am. 1983 Mar;21(1):93–113. [PubMed] [Google Scholar]
  8. Poole G. V., Jr, Choplin R. H., Sterchi J. M., Leinbach L. B., Myers R. T. Occult lesions of the breast. Surg Gynecol Obstet. 1986 Aug;163(2):107–110. [PubMed] [Google Scholar]
  9. Powell R. W., McSweeney M. B., Wilson C. E. X-ray calcifications as the only basis for breast biopsy. Ann Surg. 1983 May;197(5):555–559. doi: 10.1097/00000658-198305000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Rodes N. D., Lopez M. J., Pearson D. K., Blackwell C. W., Lankford H. D. The impact of breast cancer screening on survival. A 5- to 10-year follow-up study. Cancer. 1986 Feb 1;57(3):581–585. doi: 10.1002/1097-0142(19860201)57:3<581::aid-cncr2820570331>3.0.co;2-x. [DOI] [PubMed] [Google Scholar]
  11. Schwartz G. F., Feig S. A., Rosenberg A. L., Patchefsky A. S., Schwartz A. B. Staging and treatment of clinically occult breast cancer. Cancer. 1984 Mar 15;53(6):1379–1384. doi: 10.1002/1097-0142(19840315)53:6<1379::aid-cncr2820530627>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  12. Schwartz G. F., Patchefsky A. S., Feig S. A., Shaber G. S., Schwartz A. B. Clinically occult breast cancer. Multicentricity and implications for treatment. Ann Surg. 1980 Jan;191(1):8–12. doi: 10.1097/00000658-198001000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Tinnemans J. G., Wobbes T., van der Sluis R. F., Lubbers E. J., de Boer H. H. Multicentricity in nonpalpable breast carcinoma and its implications for treatment. Am J Surg. 1986 Mar;151(3):334–338. doi: 10.1016/0002-9610(86)90462-9. [DOI] [PubMed] [Google Scholar]
  14. Wertheimer M. D., Costanza M. E., Dodson T. F., D'Orsi C., Pastides H., Zapka J. G. Increasing the effort toward breast cancer detection. JAMA. 1986 Mar 14;255(10):1311–1315. [PubMed] [Google Scholar]
  15. Wilhelm M. C., de Paredes E. S., Pope T., Wanebo H. J. The changing mammogram. A primary indication for needle localization biopsy. Arch Surg. 1986 Nov;121(11):1311–1314. doi: 10.1001/archsurg.121.11.1311. [DOI] [PubMed] [Google Scholar]

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