DOI: 10.36347/sjams.2013.v01i05.0024

Pages: 452-454

Advances and easy accessibility to the technologies of imaging makes it possible for the breast lesions to be recognized before they become palpable. General consensus with these nonpalpable lesions which may have the potential for being malignant is to option a biopsy in many countries. Marking the lesion with a wire is the most common technique in many countries for performing a biopsy. Causing a wide area of resection and especially for malignant cases, inadequate negative margins and cosmetic problems bring a lot of questions with this procedure. The aim of this study is to emphasize the necessity of finding a more appropriate method to prevent cosmetic issues due to an excess tissue extracted by wire guided breast biopsy. In this study, lesions of sixty patients were marked with a wire and the biopsy materials were analyzed for the volume resected, the resection index and negative margins for the lesions at Ankara Numune Training and Research Hospital. Patients were called and asked how their biopsy sites were looking. We wanted them to select one of the answers and recorded their verbal answers. Answers were presence "no difference "or " compession /contraction" after the procedure. The average resected volume was 12,13 cm3, the resection index was 14,64. The ratio for malignant lesions was 31,6% and 42% of the lesions had positive margins. Most of the biopsies done for these nonpalpable and highly suspicious lesions with this method were reported to be benign and inadequately large amount of tissue was resected for obtaining a negative margin. This procedure may face the patients with cosmetic problems. In case of nonpalpable breast lesions, alternative procedures for more effective and convenient biopsy methods are needed to be defined.