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Abstract Breast cancer is the most common cancer in females and having one of the highest mortality rates form cancer worldwide in them. In the last few decades, the massive improvement in the diagnostic methods of this disease and the development of the concept of screening increased the rate of early diagnosis. This early diagnosis had led to the development of less aggressive manners of treatment as the conserving breast surgery (CBS) followed br radiothearpy. The main outcome of the CBS is the complete cure of the patient by total removal of the tumor with an adequate safety margin to avoid re-operation or recurrence as well as the least volume loss to improve the cosmetic outcome. To reach this aim with the fact that the early diagnosis reveals small sized and non-palpable lesions, many methods of localization are used such as, wire localization, radioactive material localization…etc. One of the localization methods is the intraoperative ultrasound (IOUS) which is increasingly be used to avoid the invasiveness of the other methods, nulling the radiation exposure, reduce the preoperative planning and increase patient’s comfort. The results of the use of IOUS is promising and is better or at least comparable to the wire localization and more practical and accessible. Using IOUS as a localization method will be of great benefit to the patient and the surgeon as well regarding the operation results and the cosmetic outcome. CONCLUSION The use of IOUS is a feasible method for localization of breast masses and in our experience it improved the outcome of the conserving breast surgeries, its use is favorable for the patient comfort and to reduce the need of re-excision. So, its use is highly recommended. |