Indications
- Radiological microcalcification suspicious of DCIS
- Impalpable lesion
Workup
- Radiologically guided localisation (USS/X-ray)
- Barbed wire inserted
Procedure
- Incise skin transversely over wire
- Follow wire to substance of breast
- Excise around wire with good margin + frozen section to identify that whole of lesion has been taken
- When adequate excision confirmed, ensure adequate haemostasis
- Obliterate cavity
- Close with subcuticular stitches