Book Appointments & Health Checkup Packages
Book Appointments & Health Checkup Packages
In cases where a doctor suspects an abnormality, they may recommend using magnetic seed or needle (wire) localization to assist in taking a Biopsy of the questionable tissue. This procedure is typically used when mammography or breast ultrasonography detects an abnormality that cannot be physically detected. During a Wire Localisation Biopsy, the precise position of a mass or abnormality is marked with a thin wire. It is carried out before the surgeon does an Excisional Biopsy to remove the lump. Other names for this process include Needle Localization, Wire Localisation, and Fine-Wire Localisation.
To properly detect the area of concern, the patient first undergoes an ultrasound or mammography as part of the process. Using a tiny needle, a radiologist then inserts the wire, which is often secured with a tiny hook at the end to hold it in place. Once the implantation has been confirmed through imaging, the wire is kept in position to assist the surgeon and is slightly visible on the surface of the breast.
The surgical technique involves the physician precisely excising suspect tissue while sparing as much healthy tissue as possible by following the wire to the targeted anomaly. With improved Biopsy accuracy, fewer surgical procedures are required, and this approach improves diagnostic results.
A Wire Localisation Biopsy can be administered to other regions of the body, although it is most often used to find tumours or abnormalities in the breast. It applies in the following cases:
Cut a lump that is not palpable or can't be felt
Cut a tiny, abnormal spot that is challenging for the surgeon to find
To extract tissue whenever multiple abnormalities are observed on an X-ray
Help the surgeon minimise damage to the area by extracting a small portion of healthy tissue around the anomaly
The primary advantage of the Wire Localisation technique is that it aids in directing the surgeon to perform a Breast Biopsy in the appropriate location. This facilitates the removal of only the damaged tissue. In certain cases, doctors may choose to use Wire Localisation before surgery instead of a Biopsy. The radiologist may insert a wire if a suspicious region is shown on mammography or ultrasound but is too small to be felt. The surgeon can then surgically remove the tissue. Another advantage of Wire Localisation is that it requires fewer surgical incisions, meaning a quicker recovery and fewer scars.
It is recommended that you allocate about one hour for your Wire Localisation appointment. The actual treatment should just take twenty to thirty minutes. Mammography or ultrasound methods are used to locate the breast abnormalities.
After receiving the treatment, you will be transferred to a recovery area to monitor for any potential complications or negative reactions. You may experience bruising, swelling, and tenderness at the Biopsy site, but these symptoms should subside within a few days. You will likely be discharged on the same day as the treatment. A follow-up visit will be scheduled for seven to ten days after the Biopsy to remove the wire and clip. If additional abnormal tissue is discovered, the doctor will surgically remove it.
Biopsy specimens are transmitted to a pathology laboratory. A pathologist examines the cells to see whether they contain oncogenic factors. The type of cells present, their properties, and whether they are normal, malignant, or aberrant but non-cancerous are all displayed in the pathology report. If the report indicates that the cells are malignant, more research on them might be necessary. Additional testing could be necessary to determine the type of tumour, the rate of cell growth, and whether cancer cells have invaded nearby healthy tissue.
In the past 20 years, many other methods such as magnetic, radar, or radiofrequency-based, intraoperative ultrasound, and radioactive procedures have been developed to enhance the diagnosis and treatment results. Of all the methods available, Wire-guided Localization (WGL) is the most often applied.
There are potential risks associated with invasive Biopsies, such as the possibility of an unsuccessful treatment if the abnormality is not visible on mammography for proper needle guidance. Additionally, any time a needle is inserted into the breast, there is a risk of bleeding and potential infection. For individuals with breast implants, the radiologist will need to determine if Needle Localisation is possible, as there is a potential for the needle to puncture the implant. At Manipal Hospitals, Mukundapur, experienced healthcare professionals make sure to minimise complications and focus on enhancing treatment outcomes by providing precise and accurate results.
The most popular type of localisation, Wire localization, is thought to be the most effective way to direct the surgeon to the correct location during a Biopsy. But there are some other alternatives, such as:
Biopsy without localisation is usually employed as a substitute for Wire Localisation. The surgeon would guide the needle into the breast using ultrasound or mammography. Doctors refer to this type of biopsy as a Stereotactic Needle Biopsy.
MRI-guided Needle Biopsy is an additional option. An MRI machine is used to guide the needle into the breast during this treatment.
An open Biopsy performed without imaging guidance is an additional choice. To remove the abnormal tissue in this case, the surgeon creates a wider incision. This is only carried out if the aberrant tissue is easily touched or seen.
Home Mukundapur Specialities Radiology Wire-localization