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Original Article

Intraductal placement of a kopans spring-hookwire guide to localize nonpalpable breast lesions detected by galactography

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Pages 240-242 | Accepted 19 Sep 1996, Published online: 04 Jan 2010
 

Abstract

Purpose: to evaluate a new procedure for locating intraductal breast lesions detected by galactography, using the technique of intraductal placement of a Kopans spring-hookwire guide

Material and Methods: A catheter (0.7 mm) with a Kopans hookwire guide inside it was placed in 34 patients in whom an intraductal growth had been detected by galactography. the catheter was introduced through the discharging duct, with one hand holding the catheter and the other hand gently pushing the Kopans guide until it was anchored in the duct. the correct position of the guide was confirmed with new galactograms

Results: A precise excision of the lesion was satisfactorily executed in 29 of 34 patients (85%) who underwent this procedure. in 5 patients the method was unsuccessful because the Kopans guide was dislodged

Conclusion: This method is effective in removing intraductal lesions because it ensures a precise ductal excision and enables the pathologist to find the lesion more easily

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