scholarly journals Rare Complication of Stereotactic Guide-Wire Localization of Nonpalpable Breast Lesions: Breakdown of the Wire-The First Series From Turkey Involving 20 Case Analyses

2019 ◽  
Vol 4 (2) ◽  
pp. 90-94
Author(s):  
Mehmet Akif Ustuner ◽  
◽  
Lutfi Dogan ◽  
Niyazi Karaman ◽  
Ergun Yuksel ◽  
...  
2014 ◽  
Vol 80 (7) ◽  
pp. 675-679 ◽  
Author(s):  
Jeffrey C. Chiu ◽  
Saira Ajmal ◽  
Xiang Zhu ◽  
Elizabeth Griffith ◽  
Tiffany Encarnacion ◽  
...  

Wire localized excision (WLE) has been a long-standing method for localization of nonpalpable breast lesions. Disadvantages of this method include difficulty locating the wire tip in relation to borders of the lesion, imprecise placement of the wire, and the need to place the wire shortly before scheduled surgery. These shortcomings may lead to a high positive margin rate requiring re-excision to obtain clear margins for breast cancer. Radioactive seed localized excision (RSLE) of nonpalpable breast lesions has been advocated as a safe and effective alternative to WLE. The primary endpoints of the study were to compare re-excision rates between WLE and RSLE of nonpalpable breast lesions and to determine if there were any differences in volume of tissue removed. One hundred three patients were included in a retrospective review of localized breast excisions done by a single surgeon. Forty-four patients underwent WLE between April 2007 and February 2009. Fifty-nine patients underwent RSLE between September 2009 and January 2012. Margins were considered to be clear if at least 1 mm of normal tissue was obtained from the circumferential periphery of the lesion in question. RSLE resulted in a re-excision rate of 17 versus 55 per cent re-excision rate for wire localization ( P < 0.001). Excision volume was greater for patients having wire localization ( P = 0.074). RSLE is an effective technique for excision of non-palpable breast lesions in the community setting. This technique allows for accurate localization and appears to allow for smaller volume of tissue to be excised.


2019 ◽  
Vol 25 (2) ◽  
pp. 282-285
Author(s):  
Chelsea R. Horwood ◽  
Valerie Grignol ◽  
Samantha Lahey ◽  
Vishnu Pemmaraju ◽  
Andrew Schafer ◽  
...  

2011 ◽  
Vol 1 ◽  
pp. 40 ◽  
Author(s):  
Said Abuhasna ◽  
Dirar Abdallah ◽  
Masood ur Rahman

A rare complication of a hemodialysis catheter insertion is the loss of the complete guide wire into the circulation. A complete guide wire in the circulation may not necessarily produce symptoms, and it may remain unnoticed for a significant period of time. We present a rare case where a complete guide wire was lost into the circulation during insertion of a hemodialysis catheter into the right femoral vein in a 19-year-old female with systemic lupus erythromatosis. The patient remained asymptomatic through two plasmapheresis treatments over a period of 2 days. The guide wire was eventually retrieved without complications. The factors leading to the wire being forgotten will be reviewed, and the measures initiated to prevent any future occurrence will be addressed.


1994 ◽  
Vol 13 (3) ◽  
pp. 183-188 ◽  
Author(s):  
T J Rissanen ◽  
H P Mäkäräinen ◽  
H O Kiviniemi ◽  
I I Suramo

1998 ◽  
Vol 39 (3) ◽  
pp. 292-297 ◽  
Author(s):  
T. Rissanen ◽  
M. Pamilo ◽  
I. Suramo

Purpose: To evaluate the role of ultrasonography (US) as a method of guidance for fine-needle aspiration biopsy or preoperative wire localization in the demonstration of nonpalpable mammographically detected breast lesions Material and Methods: A total of 168 nonpalpable mammographically detected breast lesions were examined by means of high-resolution real-time US Results: US depicted: 55% of all the lesions (92/168); 88% of the circumscribed densities (45/51); 80% of the stellate densities (35/44); 47% of the asymmetric densities (7/15); and 9% of the microcalcifications (5/58) Conclusion: US was useful in guiding needle biopsy or wire localization in most of the circumscribed and stellate breast lesions, even in fatty breasts. However, with the equipment that is currently available, US was of no value in localizing microcalcifications


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