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Indications

• Radiological microcalcification suspicious of DCIS
• Impalpable lesion

Workup

• Radiologically guided localisation (USS/X-ray)
• Barbed wire inserted

Procedure

1. Incise skin transversely over wire
2. Follow wire to substance of breast
3. Excise around wire with good margin + frozen section to identify that whole of lesion has been taken
4. When adequate excision confirmed, ensure adequate haemostasis
5. Obliterate cavity
6. Close with subcuticular stitches