The diagnostic value of stereotactic wire localization and usual localization combined with mesh in the NBPL microcalcifi-cation

XIA Dexin; LI Dechun; WANG Guangming; ZHAO Li

Abstract：Objective To evaluate the diagnostic value of digital three-dimensional wire localization and mammography locali-zation combined with homemade metal mesh in the breast microcalcification of nonpalpable breast lesions. Methods A total of 67 patients underwent X-ray examination and were found microcalcification. Then three-dimensional stereotatic localization was performed on 25 patients. With the stereotatic wire localization and surgical biopsy,the calcification was localized and removed. Pathological examination was done after the surgery. Results Three-dimensional stereotatic localization was all well done in 25 patients(100%),then mammography localization in 42 patients, while 3 patients were deviated, the first successful rate was 92.86%. Mammography showed that only microcalcification was found in 27 cases,calcification with disorganization in 23 cases, calcification with increased density in 17 cases. Pathologic findings revealed that 33 patients were malignant and 34 patients were benign. After statistical analysis ( P <0.05 was statistically significan), the accuracy and santisfaction of the wire localization were better. Conclusion Three-dimensional stereotatic localization of breast contributes to the detection and diagnosis of early-stage breast cancer and microcalcification and increases the detection rate of the nonpalpable breast lesions. The method of wire localization is efficient than the mammography in accuracy and satisfaction,then the mammography localization is better than it in economic and operation time. With our metal mesh,the pathological examination time will be shortened and it can benefit the sur-gical re-resection.