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Breast-conserving surgery (BCS) is considered the gold-standard treatment for early breast cancer.Various techniques were proposed for identifying non-palpable breast tumors, but the mostpopular one is the wire-guided localization (WGL technique). The most important drawback ofBCS is the possible presence of microscopic tumor at or close to the margin of excision.The work highlighted significance of screening programs in early detection and recent advancesin the management of early non palpable breast cancer. This was a prospective study on 30 patientswith a single non-palpable breast lesion. A preoperative USG or MMG-guided hook wirelocalization technique was performed then intraoperative frozen section was done.The results showed that 30 patients were treated with wire-guided localization and BCS, andintraoperativefrozen sections. According to positive margins, patient age, menopausal status, tumorsize and histologic type were associated with increased risk of positive margins. The re-excisionat the time of original operation was 6/30(20%), without second operation. Postoperative complicationswere 5(16.7%) due to neo-adjuvant chemotherapy, size of mass, specimen volume, marginstatus and LNs affection. |
