Xeroradiographic detection of occult breast cancer

Frankl, Gloria; Rosenfeld, David D.

doi:10.1002/1097-0142(197502)35:2<542::aid-cncr2820350238>3.0.co;2-3

Cited by 31 publications

(5 citation statements)

References 6 publications

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“…We found a metastatic rate to axillary lymph node of 17%, which corresponds well to that reported by others, i.e., 6-17% [22,23,30,31]. In another series, however, the axillary metastatic rate was somewhat higher, 27% [3]. On the other hand, in series of palpable carcinomas, the metastatic rate is approximately 40-60%.…”

Section: Discussionsupporting

confidence: 91%

“…In our study, a malignancy rate of 29% of biopsies and 30% of patients is highly satisfactory compared to other series, in which the frequency varies from approximately 10 to 45% [3,8,12,16,20,[22][23][24]. As expected, mammography displayed the lowest figures of malignancy in groups with a radiologic finding of circumscribed or nodular mass or a formation of clustered microcalcifications without mass [25][26][27].…”

Section: Discussionsupporting

confidence: 74%

“…The noninvasive marking methods for a selective approach comprise visual and radiopaque skin markers or diagrammatic maps [3,9,10]. These techniques are often inaccurate, especially when dealing with large or pendulous breasts or lesions located centrally.…”

Section: Discussionmentioning

confidence: 99%

“…For that purpose, mammography is a valuable means. In approximately 3% of symptomatic women, routine use of mammography has discovered impalpable lesions highly suspected of malignancy [3]. Of these, 25-30% proved malignant.…”

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confidence: 99%

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Nonpalpable breast lesions: Mammographic wire‐guided biopsy and radiologic‐histologic correlation

et al. 1982

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During a 1-year period, 2,909 symptomatic women were referred for physical examination of the breast and mammography. In 44 women (1.5%), mammography discovered a total of 45 impalpable breast lesions that might represent an early cancer. Mammographic wire-guided biopsy was performed using a self-retaining hook wire for the marking of the lesion. The radiographic localization was facilitated by using a perforated compression plate with holes visible on the mammograms. The biopsy method showed high precision and accuracy. Only 1 guide wire was needed in each instance. In 96% of cases, the wire transfixed the lesion or was placed in close proximity (within 1 cm) to the lesion. Correct biopsy was achieved in all instances, but in some cases more than 1 biopsy was necessary. The malignancy rate was 29% of biopsies and 30% of patients. The metastatic rate to axillary lymph nodes was 17%. Generally, the histologic pattern showed great variety with several different components in most specimens. The radiologic-histologic correlation is tabulated and the significance of preclinical breast cancer detection is emphasized. The biopsy method described is reliable and highly recommended. We found the procedure easy to handle and time-saving. The method was fully acceptable to patients and the cosmetic results were excellent.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Nonpalpable breast lesions: Mammographic wire‐guided biopsy and radiologic‐histologic correlation

et al. 1982

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“…These are usually punctate, of more uniform size and pattern, or they may be dense and variable in size (Figs. [5][6][7][8][9]. Any group of five or more should be viewed with concern.…”

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confidence: 99%

Specimen radiography and preoperative localization of nonpalpable breast cancer

Snyder

1980

Cancer

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Specimen radiography with or without needle localization should become standard procedure when breast biopsy is performed solely on the basis of mammographic findings. Without these techniques, surgery may prove useless. Over a five-year period from 1974 through 1978, a series of 423 specimen radiographs were done at Memorial Sloan-Kettering Cancer Center for questionable mammographic calcifications or, in a few instances, nonpalpable masses. One hundred and twenty-six proved to be carcinoma, but they represent only 4% of the total number of cancers treated during this period of time. Most breast cancers are still being detected by palpation or palpation combined with mammography. The cancers needing specimen radiography or needle localization are the truly minimal lesions with the best prognosis. With present day techniques, radiation dosage from mammography is extremely low. Its continued use should be encouraged if mammography is to have any impact on breast cancer survival rates. High quality mammograms, interpretation by experienced radiologists, and close coordination of the efforts of the radiologists, surgeon, and pathologist can make possible the detection of increasing numbers of these minimal cancers.

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Localization and Excision of Nonpalpable Breast Lesions

Tinnemans¹

1987

Arch Surg

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Xeroradiographic detection of occult breast cancer

Cited by 31 publications

References 6 publications

Nonpalpable breast lesions: Mammographic wire‐guided biopsy and radiologic‐histologic correlation

Nonpalpable breast lesions: Mammographic wire‐guided biopsy and radiologic‐histologic correlation

Specimen radiography and preoperative localization of nonpalpable breast cancer

Localization and Excision of Nonpalpable Breast Lesions

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