If you have an abnormality in your breast that cannot be easily felt, but requires surgical removal, a hookwire can be used as a marker for the surgeon, with its tip at the site of the abnormality. Why would my doctor refer me to have this? Wire/needle localization is a minimally invasive surgical technique used to locate and remove breast cancer tumors. The ‘hook’ at the end of the wire prevents the wire from moving out of position before surgery.īreast hookwire localisation is carried out using local anaesthetic to numb the breast in the area where the hookwire is to be inserted. This technique is used before breast-conserving surgery or excisional biopsies, or to identify the location of an original cancer after neoadjuvant chemotherapy. For surgical excision with free margins, the surgeon. A hookwire localisation is where a fine wire, called a hookwire, is placed in the breast with its tip at the site of the abnormality.īefore surgery is carried out, a specialist doctor (a radiologist) places the hookwire into the correct position in the breast using ultrasound, mammography or MRI for guidance. The placement of the wire is difficult in dense breast tissue.9 The wire may be displaced during surgery. If an abnormality that cannot be easily felt needs to be surgically removed, surgeons need a marker to guide to the correct area of breast tissue. Tests, such as mammography, ultrasound and magnetic resonance imaging (MRI), can show abnormalities in the breast that cannot be felt by a woman or her doctor. It can be used as an alternative to wire. Many tests have been developed to find breast cancer early. This is a technique used to provide localization of nonpalpable breast lesions before breast-conserving surgery. This will help your doctor find the area easily during your surgery. Breast needle localization is a procedure done to find exactly where your abnormal breast tissue is and mark its location. percutaneous transhepatic cholangiogramĪ/Prof Liz Wylie* What is a breast hookwire localisation? One of the challenges of performing breast-conserving surgery on non-palpable breast tumours is accurate localization of the cancer. This information explains your breast needle localization procedure at Memorial Sloan Kettering (MSK).18-20 week screening pregnancy ultrasound.
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