Based on results from your patients most recent mammogram, it may be recommended that an area of your patient's breast be biopsied in order to further assist in evaluating their breast health.

Breast wire localization is a simple process similar to a mammography exam and is used when the surgeon is unable to feel the abnormality on physical examination. Breast  wire localization is performed prior to surgical biopsy to assist the surgeon in correctly and accurately targeting the abnormal area(s).

The purpose of the breast localization is to place a guide wire within the breast at the point of concern to guide your surgeon to the area of concern.

Procedure

As in a mammogram procedure, the breast is placed between specially designed compression plates. The patient is seated at the mammography equipment while a technologist or radiologist explains the procedure.

A special, open compression paddle is placed onto the breast in order to keep the it still and localize the lesion. The breast area is cleaned with a sterile solution and then marked with a skin marker pen.

Next, the skin of the breast is anesthetized with a small needle. An initial sting or burning sensation is expected.

A hollow needle is placed within the breast at and through the area of concern. An x-ray is again taken to ascertain the initial positioning. A second image is then taken to ensure exact positioning. (Depending on the surgeon's preference, the radiologist may inject blue dye or a sterile charcoal solution to help the surgeon see the abnormal tissue more clearly.)

Once verified, a small wire (hook type) is passed through the hollow needle to the area of concern. The needle is replaced by the wire, which remains in the breast until the surgeon removes it. The localization images are sent to the surgeon to assist in the surgical process.

Post Exam

The wire localization is done prior to surgery. The radiologist may contact the surgeon directly following the localization so he/she is aware of all findings.