Background: Breast cancer is the most cancer type in females .The preferred method of treatment for early breast cancer is breast conserving surgery. In order to achieve satisfactory oncological and aesthetic effects, accurate preoperative lesion localization is essential. This resulted in the development of wire-guided breast lesion localization.

in this study we describe our experience in localization of non palpable breast lesions with the aid of wire by using ultrasound , Mammography for localization of architectural distortion as well as combined technique for more characterization .

Methods: 20 patients with breast lesions that were non palpable were enrolled in this study. They were pathologically proven breast cancer.

Results: Wire localization was successful in about 18 patients (90%) and was failed in about 2 patients(10%) Conclusion: Image guided wire localization is feasible , accurate and help the surgeon to perform the surgery with adequate safety margin and reduce the complication of breast surgery