Pre-Operative Breast Localization

Better Options for Breast Localization in Savannah

A smiling female patient with a nurse.EBI utilizes the newest technology to avoid needle localizations [also known as wire locations.] When needle or wire localizations are used, roughly 25-30% of the time a second surgery is necessary. Needle or wire localizations are placing a needle or wire through the abnormality of concern (the wire sticks out of your breast) so that the surgeon can follow the needle or wire “down” to the abnormality to take it out in the operating room. This method has been around for about 50 years and may cut through more tissue that results in poorer cosmetic outcomes. This procedure is done the same morning of the operation since you will have a wire sticking out of your breast. The same day additional procedure increases the complication risks when placing the needle or wire and typically the amount of time the patient must be at the facility [sometimes half a day or longer.]

Fortunately, there are many better options for patients today!

Magseed marker – has reduced the need for a second operation as low as 6.5% and can result in better cosmetic results following surgery.  A small magnetic seed [roughly size of single grain of rice] can be placed at the site of the abnormality many days prior to the operation at the site of prior biopsy. Less complications when not done the same day of the operation. The magnetic seed is inert until the surgeon waves a special probe in the operating room. The seed is detected when the probe is moved near it. The patient will not be able to tell the magnetic seed is in their breast and/or axilla. THERE IS NO WIRE STICKING OUT OF YOUR BREAST. Also, there is no radiation and it does not restrict range of motion.

Scout Radar, Hologic Localizer RFID tag and Savi Scout surgical guidance systems all decrease the risk of needing a second surgery and can result in better cosmetic results following surgery when compared to needle or wire locations. A small staple-sized clip [reflector] can be placed at the site of the abnormality days prior to the operation. Less complications when not done the same day of the operation. Each reflector uses radar technology to guide the surgeon to precisely the area of the abnormality so that it can be taken out in the operating room. A special probe is used by a surgeon in the operating room to detect the exact location of the reflector in the breast and/or axilla. The patient will not be able to tell the reflector is in their breast and/or axilla. THERE IS NO WIRE STICKING OUT OF YOUR BREAST. There is no radiation, and it does not restrict range of motion.

Fine needle breast abscess and cyst aspirations using imaging guidance

Typically using ultrasound-guidance after applying numbing medication around the area of concern. We perform the removal of the fluid in painful non-cancerous cysts. In most cases, some fluid will re-accumulate after removal. Removal of pus from an abscess in the breast or axilla can also be performed, if necessary. Requiring multiple separate aspirations is not uncommon.

Schedule your exam at EBI by calling our office at (912) 335-5328