Wire localization biopsy is an effective method used to treat breast cancer. Thanks to the technique, the tissue can be sampled from the right place and of sufficient size, as it should be. It provides a great advantage for not removing excess tissue from the patient. It is vitally important to perform a biopsy effectively to detect and mark cancerous tissue. As the name implies, a wire is inserted into the patient's breast by a specialist.
Along with the developing technology, Wire localization biopsy is performed in a large number of hospitals in Turkey. In addition, the development of devices plays a big role in completing the process without any complications for the patient. This method provides great convenience for surgeons. The doctor decides whether wire localization biopsy is ideal for the patient. The decision to be made is determined by the stage of breast cancer, the condition of the cancerous tissue, and the patient's details.
What is a Biopsy?
A biopsy is the name given to the process of taking cells or tissues from different parts of the body for diagnostic purposes. The removed tissue is examined depending on the suspicion of the disease using different examinations, especially a microscope. The history of biopsy dates back to the extremely ancient, eleventh century. Nowadays, thanks to modern medicine, it has become quite easy to perform a biopsy and diagnose tissue. Especially in the diagnosis of cancer, biopsy procedures are very critical and are performed with great care.
In addition, if the doctor doubts about a particular area of the body, he may also use a biopsy to remove the tissue in question. Therefore, contrary to popular belief, a biopsy is preferable not only for diagnosis, but also for treatment. The biopsy process will never cause the disease to spread or progress badly. With the advancement of technology, a biopsy can be performed even only with the help of needles, it is not necessary to use open surgical methods.
Which Department Deals with Wire Localization Biopsy?
Wire localization biopsy is performed in the radiology department. Because the patient should be viewed in detail using methods such as MRI, mammography, or ultrasound. Otherwise, unwanted tissue can be removed. After the radiologist completes the biopsy, the breast surgeon comes into play. In some cases, assistance can also be obtained from general surgery department. It is extremely important to remove the correct area, so mammography is necessarily examined in detail.
General surgery specialists who have competence in the field of breast surgery can closely monitor the biopsy process to complete it with maximum efficiency. The task of the radiology department in the field of biopsies is always extremely extensive. However, the operation is performed by the operating doctor, so it can be considered inevitable that more than one department cooperates in wire localization biopsy.
What is a Wire Localization Biopsy?
The purpose of wire localization biopsy is to ensure that the suspicious cell or tissue is removed from the body. The wire has a hooked structure to hold on to the suspicious tissue. Thanks to this, it remains in the tissue where it is firmly attached during the entire process and does not move. However, it will still be very useful for the patient to not move his arms or body too much, especially or to be careful not to pull the wire, albeit accidentally.
This biopsy method allows you to remove tissue that is suspicious in imaging techniques and is believed to be removed from the body, even if it is not addressed during a breast cancer examination and its location cannot be fully determined from the outside. After the wire clings to the tissue, the patient is sent to surgery. The surgeon first determines the location of the wire in the area with the operation, and then removes the tissue there. In this way, the process is completed, the suspicious tissue is taken and sent for examination.
How Is Wire Localization Biopsy Done?
Wire localization biopsy is performed either with wire as its name indicates, or by using radioactive material. First of all, the radiologist determines the exact location of the tissue that needs to be removed from the patient by performing an MRI, mammography, or US. A biopsy is performed on the same day as the operation, and the tissue removed during the operation is then sent back to the radiology department for examination. A cell or tissue is filmed here. The film taken is also called a spesimen X-ray and tells doctors about whether the correct cell or tissue has been removed.
When performing a biopsy, it is sufficient to apply local anesthesia to the patient. Only the wire or the area where the radioactive substance will be injected is anesthetized. The wire is inserted into the area by means of a marking needle. After making sure that it has entered the correct tissue, the needle is pulled back, the part of the wire that holds the tissue is inside, and the rest remains outside. Its outer part is glued with the help of tape on the breast, and then the film is once again pulled out to fix the location of the wire.
Wire Localization Biopsy
If there is an abnormality in the breast, the lesions here may be detected by ultrasound or other imaging methods and removed as a whole. If the lesions are smaller than 2 cm, the removal process is completed without the need for surgery using a specially designed basket in combination with ultrasound. The device used is called the intact bles and allows the tissue to be removed in the form of blocks with the help of a small pinhole.
For the removal of lesions in the form of a large piece, the method of wire localization is used. Two wires with deep placements can be placed on the lesions to prevent errors that may occur. The process of wire insertion by means of ultrasound is carried out completely painlessly. Great care is taken to ensure that the wire does not move once it has caught the tissue. It should be ensured that the patient is taken directly to the operation and the tissue marked with a wire is removed.
What are the Advantages of Wire Localization Biopsy?
Biopsy with the help of wire marking has many advantages. First of all, the surgeon focuses directly on the tissue that needs to be removed. In the planned way, only the problem area is removed from the patient, thanks to this technique, unnecessary excess tissue is not removed. In addition to helping the surgeon to make a point shot, it also saves time and makes the process easier in many ways in general.
The use of local anesthesia during the biopsy process allows the patient not to feel pain in any way. Reliable removal of cells or tissues that cannot be detected manually from the body prevents critical health problems that may occur. The patient's general well-being improves, and if it is a malignant cancer, its progression is prevented. The fact that this procedure is widely preferred allows the patient to fully recover.
The Process After Wire Localization Biopsy
The time frame before the operation is preferred for the wire localization biopsy to be performed. After the wire is attached to the tissue, it will be better to start the operation without moving it as much as possible. Therefore, after the biopsy, the patient is taken to the operation. Since local anesthesia is performed, the patient can follow the process step by step. While there is a hook part of the wire inside the nozzle, the end part of the nozzle is glued with tape outside.
The patient restricts his movements after the biopsy. During the operation, the surgeon successfully removes the tissue and sends it for examination. A small needle tip, absence of a cut, etc. minimizes the risk of infection, and the patient does not experience any serious pain after the process. It is extremely normal that there is a slight soreness and pain in the breast area after surgery. The fact that the patient has successfully survived this process allows him to become healthier both physically and psychologically.