Khare Siddhant, Singh Tulika, Santosh Irrinki, Laroiya Ishita, Singh Gurpreet
Department of Surgery, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, Chandigarh, India.
Department of Radiodiagnosis, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, Chandigarh, India.
Breast Cancer (Auckl). 2020 Jul 3;14:1178223420938068. doi: 10.1177/1178223420938068. eCollection 2020.
Excision of nonpalpable breast lesions requires intraoperative guidance. Wire-guided localization and intraoperative ultrasounds have been used successfully but suffer from some disadvantages. We describe a new modification of the standard technique using a combination of preoperative ultrasound in conjunction with standard wire-guided localization.
Wire and ultrasound-guided localization (WUGL) technique was used for the excision of nonpalpable breast lesions.
Sixty-nine patients with nonpalpable breast lesions were subjected to excision using WUGL, out of whom 63 patients had a preoperative diagnosis of invasive/noninvasive breast cancer. Six patients had a preoperative diagnosis of benign lesions, out of which 3 patients were converted to invasive breast cancer on final pathology. Only 1 patient had positive margin.
WUGL is a technique that uses a combination of well-accepted and easily available techniques. It has given good results and has the potential for widespread acceptance in resource-constrained situations.
不可触及乳腺病变的切除需要术中引导。金属丝引导定位和术中超声已成功应用，但存在一些缺点。我们描述了一种标准技术的新改良方法，即术前超声结合标准金属丝引导定位。
采用金属丝和超声引导定位（WUGL）技术切除不可触及乳腺病变。
69例不可触及乳腺病变患者接受了WUGL切除，其中63例患者术前诊断为浸润性/非浸润性乳腺癌。6例患者术前诊断为良性病变，其中3例在最终病理检查时转为浸润性乳腺癌。仅1例患者切缘阳性。
WUGL是一种结合了广泛认可且易于获得的技术的方法。它取得了良好的效果，在资源有限的情况下有广泛应用的潜力。
