KẾT QUẢ ĐỊNH VỊ KIM DÂY DƯỚI HƯỚNG DẪN X QUANG VÚ TRONG PHẪU THUẬT TỔN THƯƠNG VÚ NGHI NGỜ ÁC TÍNH

Abstract

Objectives: The purpose of this study was to evaluate the usefulness of hook wire localization technique under imaging guidance for suspicious malignant breast lesions detected mammography. Methods: In this study, mammography-guided hook wire localization technique was performed on 64 patients with 70 breast suspicious lesions at K hospital from March 2023 to June 2024. Then histopathological examination was performed on surgically removed specimens. All patients’ mammograms were categorized using Breast Imaging-Reporting and Data System (BI-RADS) classification. Results: Radiologically, 21 (30%) lesions were classified as BI-RADS 3; 48 (68.6%) BI-RADS 4; one (1.4%) BIRADS 5. Histopathological results were benign in 58 (82.9%) and malignant in 12 (17.1%) lesions. 21 lesions were classified as BI-RADS 3 and definitive diagnoses for all were benign. Besides, 48 lesions were classified as BI-RADS 4 and histopathologically 11 of them were reported as malignant, and 37 as benign. There were no cases of displacement of the positioning wire. There was only 1 case of mild bleeding, accounting for 1.4%. Conclusion: Mammography-guided needle wire localization is a safe and effective method for early diagnosis of breast cancer.