Preoperative Localization for Non-Palpable Breast Lesions

Advances in breast imaging have increased the detection of non-palpable breast lesions, making the accurate localization of these lesions for surgery increasingly important. Wire-guided localization is the oldest and remains the most widely used technique for non-palpable breast lesions. However, du...

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Main Authors: Sang Yull Kang, Hyeong Eun Jeong, Ha Rim Ahn, Hyun Jo Youn
Format: Article
Language:English
Published: The Korean Surgical Ultrasound Society 2025-05-01
Series:Journal of Surgical Ultrasound
Subjects:
Online Access:http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.7
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author Sang Yull Kang
Hyeong Eun Jeong
Ha Rim Ahn
Hyun Jo Youn
author_facet Sang Yull Kang
Hyeong Eun Jeong
Ha Rim Ahn
Hyun Jo Youn
author_sort Sang Yull Kang
collection DOAJ
description Advances in breast imaging have increased the detection of non-palpable breast lesions, making the accurate localization of these lesions for surgery increasingly important. Wire-guided localization is the oldest and remains the most widely used technique for non-palpable breast lesions. However, due to the several limitations of this method, alternative techniques, such as Intraoperative ultrasound localization, Breast biopsy marker localization, Radioactive localization (including Radioguided Occult Lesion Localization, Sentinel Node and Occult Lesion Localization, Radioactive Seed Localization, and Radioguided Occult Lesion Localization using Iodine-125 Seeds), Magnetic seed localization, Radar reflector localization, and Radiofrequency-based localization, have been developed. These methods have been demonstrated to have outcomes comparable to wire-guided localization and are currently used in clinical practice. Localization techniques for non-palpable breast lesions have evolved to become more patient-friendly, though each method has its advantages and limitations. In the future, localization methods based on augmented reality are expected to emerge, and advancements in nanotechnology and molecular biology are anticipated to contribute to developing more precise and less invasive localization techniques. This literature review aims to explore the concepts, advantages, disadvantages, and clinical applications of various preoperative localization methods for non-palpable breast lesions and assist the selection of the most appropriate technique based on patient characteristics.
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spelling doaj-art-8ec332b0df9b4e1c88c4254bc1f2ae2f2025-08-20T03:05:45ZengThe Korean Surgical Ultrasound SocietyJournal of Surgical Ultrasound2288-91402025-05-0112171310.46268/jsu.2025.12.1.7jsu.2025.12.1.7Preoperative Localization for Non-Palpable Breast LesionsSang Yull Kang0Hyeong Eun Jeong1Ha Rim Ahn2Hyun Jo Youn3Division of BreastㆍThyroid Surgery, Department of Surgery, Jeonbuk National University Medical School, Jeonju, KoreaDivision of BreastㆍThyroid Surgery, Department of Surgery, Jeonbuk National University Medical School, Jeonju, KoreaDivision of BreastㆍThyroid Surgery, Department of Surgery, Jeonbuk National University Medical School, Jeonju, KoreaDivision of BreastㆍThyroid Surgery, Department of Surgery, Jeonbuk National University Medical School, Jeonju, KoreaAdvances in breast imaging have increased the detection of non-palpable breast lesions, making the accurate localization of these lesions for surgery increasingly important. Wire-guided localization is the oldest and remains the most widely used technique for non-palpable breast lesions. However, due to the several limitations of this method, alternative techniques, such as Intraoperative ultrasound localization, Breast biopsy marker localization, Radioactive localization (including Radioguided Occult Lesion Localization, Sentinel Node and Occult Lesion Localization, Radioactive Seed Localization, and Radioguided Occult Lesion Localization using Iodine-125 Seeds), Magnetic seed localization, Radar reflector localization, and Radiofrequency-based localization, have been developed. These methods have been demonstrated to have outcomes comparable to wire-guided localization and are currently used in clinical practice. Localization techniques for non-palpable breast lesions have evolved to become more patient-friendly, though each method has its advantages and limitations. In the future, localization methods based on augmented reality are expected to emerge, and advancements in nanotechnology and molecular biology are anticipated to contribute to developing more precise and less invasive localization techniques. This literature review aims to explore the concepts, advantages, disadvantages, and clinical applications of various preoperative localization methods for non-palpable breast lesions and assist the selection of the most appropriate technique based on patient characteristics.http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.7non-palpablebreastpreoperativelocalization
spellingShingle Sang Yull Kang
Hyeong Eun Jeong
Ha Rim Ahn
Hyun Jo Youn
Preoperative Localization for Non-Palpable Breast Lesions
Journal of Surgical Ultrasound
non-palpable
breast
preoperative
localization
title Preoperative Localization for Non-Palpable Breast Lesions
title_full Preoperative Localization for Non-Palpable Breast Lesions
title_fullStr Preoperative Localization for Non-Palpable Breast Lesions
title_full_unstemmed Preoperative Localization for Non-Palpable Breast Lesions
title_short Preoperative Localization for Non-Palpable Breast Lesions
title_sort preoperative localization for non palpable breast lesions
topic non-palpable
breast
preoperative
localization
url http://www.jsu.or.kr/journal/view.html?doi=10.46268/jsu.2025.12.1.7
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AT hyunjoyoun preoperativelocalizationfornonpalpablebreastlesions