Abstract
Objective: To determine the accuracy of ultrasound
guided wire localization of the residual breast cancer
lesion in post chemotherapy patients.
Methodology: This retrospective study was
conducted at Dow University Hospital after IRB
approval. Data of all breast cancer patients who
underwent ultrasound guided wire localization of
residual breast lesion with intra-lesional liga clip from
2017 to 2000 was retrieved from patient record
system.
Results: The study had 39 patients. All patients had
successful localization of the intra lesional liga clip
followed by efficacious retrieval of residual lesion
along with the intra lesional liga clip and wire. That
retrieval was confirmed with post lumpectomy
specimen radiograph, which confirmed the presence of
liga clip in resected specimen further confirmation of
tumor bed occurred on histopathology. In all 39
(100%) cases, clip and wire retrieval was successful.
Conclusion: Ultrasound guided wire localization of
the intra lesional liga clip is the accurate method to
facilitate the breast conservation in patients who have
impalpable lesion. This is safe and cost effective
method for the accurate removal of tumor or tumor
bed.
Keywords: Ultrasound guidance, wire localization,
clip, neoadjuvant chemo, breast conserving surgery.
