Preoperative localization of nonpalpable breast nodules – which method to choose?

Abstract

Background

Along with the introduction of screening mammography more and more breast cancers are non-palpable in examination. To perform breast conserving therapy (BCT) such tumors need to be localized correctly preoperatively.

Method

The study presents the most frequently used methods of non-palpable breast tumors localization such as: wire-guided localization (WGL), ultrasonographic localization and radioguided occult lesion localization (ROLL).

Results

All presented methods allow preoperative marking of suspected non-palpable breast lesions with great precision in favour of ROLL.

Conclusions

ROLL technique is the best from among those currently used when considering comparative analyses. Additionally, it is the promising method in combination with simultaneous marking of the sentinel node.