From 1987 to 1992 at our Institute, 253 patients with non palpable bre
ast lesions (NBPL) underwent a surgical excision. Fifty-one lesions (1
9.7%) were localized by an injection of a sterile 3% charcoal suspensi
on under sonographic guide. The sonographic features of NBPL were clas
sified as follows: positive in one case (2%), doubtful in 31 cases (60
%) and negative in 19 cases (38%). According to our data the preoperat
ive sonographic localization is a useful alternative procedure to ster
eotactis mammography in case of breast masses and/or areas of increase
d tissue density or distorted breast architecture.