Strategies for localisation of impalpable breast lesions

Sascha Miles Dua, Richard J. Gray, Mohammed Keshtgar

Research output: Contribution to journalArticlepeer-review

63 Scopus citations


With advances in the sensitivity of mammographic screening and the broader population of women screened via national programmes. More than 50% of all new breast cancers in the United Kingdom are screen-detected and of the 11,110 invasive breast cancers (78.7 per cent of all UK cancers) detected in the year 2007-2008, 5814 (52.3 per cent) measured 15 mm or less in diameter and were deemed clinically non-palpable. For excision of non-palpable lesions, localisation techniques are currently largely limited to wire-guided localisation with the associated risks of migration, transection and scheduling conflicts. In this review we will describe the current gold-standard of wire-guided localisation (WGL), its associated merits and limitations before reporting on the data available for Radioguided Occult Lesion Localisation (ROLL) and Radiolabeled Seed Localisation (RSL) trials.

Original languageEnglish (US)
Pages (from-to)246-253
Number of pages8
Issue number3
StatePublished - Jun 2011


  • Localisation
  • Non-palpable
  • Radio-guided

ASJC Scopus subject areas

  • Surgery


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