Value of ultrasound guided needle-wire localization for occult breast lesions excise

Objective To evaluate the efficacy of localization of occult breast neoplasm by needle wire under ultrasound guidance before surgical excise. Methods Fifty eight occult breast lesions and 3 enlarged axillary lymph nodes were detected by ultrasonography, and all 61 lesions were executed hook wire localization puncture guided by ultrasound preoperatively. Results All localized lesions were removed accurately. Sixteen lesions of 61 lesions were malignant (26.2%), including 3 lesions were situ carcinomas, 8 lesions were early stage invasive carcinomas, 4 lesions were invasive carcinomas, and 1 lesion was lymph node metastatic carcinoma. The remaining 45 lesions were benign (73.8%). The sensitivity and specificity of ultrasonography for diagnosis was 93.8% and 91.1%,respectively. Conclusion Ultrasound-guided wire localization of breast occult lesions is not only useful in assisting surgical biopsy, but also helpful in early diagnosis and treatment of breast carcinoma.