Ultrasound-guided wire localization of lesions detected on screening mammography in Osogbo, Nigeria and its impact on breast conservative surgery.

BACKGROUND Wire localization for planned surgical treatment in the management of breast cancer is underutilized in our environment. The objective of this study is to assess the role of ultrasound-guided wire localization of breast masses detected on screening mammography and its impact on biopsy and breast conservative surgery in our environment. MATERIALS AND METHODS A prospective study of 189 women who presented for screening mammography following a health campaign on breast cancer within a six-month period. Wire localization for mammographic detected lesions was done under ultrasound guidance. The lesions excised were sent for specimen radiography and histology. RESULTS Ten women had wire localization of breast lesions and subsequent excision. Three lesions were on the right and 7 on the left; out of which 3 were malignant. The mean volume of excised tissue was 74.27 ± 30.16 cm(3). CONCLUSION Early detection of breast cancer is possible and practicable in our environment. Wire localization of detectable lesions on mammography will assist in better surgical management and improve prognosis.