Needle Localization

The needle localization with surgical breast procedure:

Before you are taken to the operating room, the radiologist numbs your skin with local anesthetic and inserts a thin needle with a fine hookwire into the lump during mammography or ultrasound. The wire is visible in the radiograph below. This part of the procedure takes about 30-45 minutes. The hooked wire is left in the lump as a marker for the surgeon. You are then taken to the operating room for surgical removal of the lump. 

 

In the operating room an IV (intravenous line) is started and you are given a sedative. The surgeon makes an incision in your breast, and the abnormality and the wire are removed. The biopsy specimen may be x-rayed to confirm removal of the abnormality. The specimen is sent to the lab. The surgeon stitches the incision and a dressing is applied. You will be observed for about an hour in the recovery room and then returned to the outpatient surgical unit until you feel well enough to be discharged from the hospital (about one hour).

 Needle Localization