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July 1987

Localization and Excision of Nonpalpable Breast Lesions: A Surgical Evaluation of Three Methods

Author Affiliations

From the Departments of General Surgery (Drs Tinnemans, Wobbes, van der Sluis, Lubbers, and de Boer) and Diagnostic Radiology (Dr Hendriks), St Radboud University Hospital, Nijmegen, the Netherlands.

Arch Surg. 1987;122(7):802-806. doi:10.1001/archsurg.1987.01400190068013

• 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.

(Arch Surg 1987;122:802-806)

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