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AJR 2005; 184:1795-1798
© American Roentgen Ray Society


Technical Innovation

Breast Lesions Causing Nipple Discharge: Preoperative Galactography-Aided Stereotactic Wire Localization

Anna Koskela1, Marja Berg1, Timo Pietiläinen2, Paula Mustonen3 and Ritva Vanninen1

1 Department of Clinical Radiology, Kuopio University Hospital and Kuopio University, Puijonlaaksontie 2, FIN-70210 Kuopio, Finland.
2 Department of Pathology, Kuopio University Hospital and Kuopio University, Kuopio, Finland.
3 Department of Surgery, Kuopio University Hospital and Kuopio University, Kuopio, Finland.

OBJECTIVE. Lesions that present with nipple discharge typically are not visible on mammography or sonography but can be detected on galactography. Therefore, the usual methods for preoperative localization (wire placement under sonography or stereotactic guidance) are not applicable. We report our preliminary experience of galactography-aided stereotactic wire (n = 8) or coil (n = 1) localization of small intraductal lesions.

CONCLUSION. Galactography-aided wire or coil localization is a practical localization method for intraductal lesions not detectable on mammography or sonography.


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