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Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1812
Azienda Ospedaliera, Ospedale Niguarda Ca’ Granda - Milano, Divisione di Chirurgia Generale Andrea Ponti
The esthetical surgical biopsy of impalpable breast lesions under local anesthesia has been evaluated. The first 21 cases of surgical biopsy of impalpable breast lesions have been enrolled in a retrospective study from 1989 to 1998. After ultrasound (12 cases) or stereotactic (9 cases) localization, the patients, with median age of 52.8 years, were biopsied in day surgery under local anaesthesia, adopting curved strictly periareolar incision and subcutaneous personal technique with the anchorage of the metal reference mark to the breast. The surgical time averaged 25 min. Histologically the lesions were 9 invasive ductal carcinomas, 2 lobular invasive carcinomas with lobular carcinoma in situ, 6 sclerosant adenoses, 2 epithelioses, 2 fibroadenomatoses with sclerosant adenosis. The malignant/benign lesions ratio was 1/3. The lesion was found in all the cases. Complications: 2 hematomas, 1 infection, all resolved in 12th day. Patient satisfaction index: excellent (17 cases), good (4 cases). Aesthetic outcome after 6 months: excellent (18 cases), good (3 cases). When necessary, the surgical aesthetic biopsy under local anesthesia of impalpable breast lesions is recommended for a diagnostic reliable technique and aesthetic outcome.