The role of stereotactic excisional biopsy in nonpalpable breast lesions

Objective: To assess the excisional biopsy results that is performed with wire localization procedure, of patients with nonpalpable breast lesions.
Material and Methods: 124 patients with nonpalpable lesions of a diameter of less than 1 cm, and with a malignity risk, which were detected
at mammography or breast USG that were performed after routine breast examination between January 2003- June 2008 at 2. general surgery polyclinic of Þiþli Etfal Training and research hospital, were included in the study.
Results: The mean age of 124 patients were 51.4, with the oldest one was 73, and the youngest was 28 years old. According to the histopathological examination, 100 patients (%80.64) had benign and 24 patients (%19.36) had malign lesions. The distribution of the malign lesions were as follows: 15 invasive ductal carcinoma, 6 lobular carcinoma, and 3 in situ carcinoma. With the prognostic factors taken into consideration in patients with malign lesions, 3 patients had breast- conserving surgery and sentinel lymph node biopsy, 2 patients had breast-conserving surgery and axillary curettage, 6 patients had mastectomy, and 13 patients had modified radical mastectomy.
Conclusion: We think that the excisional biopsy that is performed with wire localization procedure, is a valuable technique to detect the malignity, and to help the decision of second operation in nonpalpable breast lesions.

Nonpalpable meme lezyonlarýnda stereotaktik eksizyonel biopsinin yeri

Amaç: Nonpalpable meme lezyonlu hastalarda, lezyonlarýn tel ile iþaretlenmesi sonrasý yapýlan eksizyonel biopsi sonuçlarýnýn deðerlendirilmesidir.
Gereç ve Yöntemler: Ocak 2003- Haziran 2008 tarihleri arasýnda Þiþli Etfal Eðitim ve Araþtýrma Hastanesi 2. Genel Cerrahi polikliniðinde rutin meme muayenesi sonrasý istenen mamografi veya meme ultrasonografisinde malignite riski taþýyan, çapý 1 cm’den küçük, nonpalpable lezyonu olan 124 olgu çalýþmaya alýndý.
Bulgular: Çalýþmaya alýnan 124 hastanýn yaþ ortalamasý 51,4 olup en yaslý hasta 73, en genç hasta 28 yaþýnda idi. Histopatolojik deðerlendirmeðe göre 100 hastada (%80.64) benign, 24 hastada (%19.36) malign lezyon saptandý. Malign lezyonlarýn, 15’i invaziv duktal karsinom, 6’sý lobuler karsinom, 3’ü ise insitu karsinom idi. Malignite saptanan olgularda prognostik faktörler deðerlendirilerek 3 hastaya meme koruyucu cerrahi ve sentinel lenf nodu biopsisi, 2 hastaya meme koruyucu cerrahi ve aksiler küraj, 6 hastaya mastektomi, 13 hastaya modifiye radikal mastektomi uygulandý.
Sonuçlar: Tel ile iþaretleme yapýlarak gerçekleþtilen eksizyonel biopsilerin, nonpalpable meme lezyonlarýnda maligniteyi saptayabilmesi ve seçilecek ikinci operasyona karar vermede yardýmcý olmasý nedeniyle deðerli bir yöntem olduðunu düþünmekteyiz.