2019
DOI: 10.1186/s43055-019-0066-z
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Clip and wire localization of locally advanced malignant breast masses in patients undergoing neoadjuvant chemotherapy and breast conservation therapy

Abstract: Background: In locally advanced breast cancers, the use of preoperative systemic therapy has been shown to induce tumor response and to improve the local control rate after subsequent surgery and radiation therapy. The purpose of the study is to evaluate the accuracy of localization of breast malignant masses in patients who received neoadjuvant chemotherapy and will undergo conservative breast surgery by using clip and wire marker. Results: Clip placement was done in 20/20 cases (100%). There was no mammograp… Show more

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Cited by 5 publications
(5 citation statements)
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“…According to the BIRADS score, 67.6% were graded as 5, indicating they were highly suggestive of malignancy, while 29.4% were graded as 6, signifying known biopsy-proven malignancy. These results align closely with the study by Shalaby et al [19], where all 20 patients studied had pathologically proven malignancies (i.e., BI-RADS VI) and were diagnosed with locally advanced breast carcinoma (stages IIB, IIIA, and IIIB).…”
Section: Discussionsupporting
confidence: 91%
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“…According to the BIRADS score, 67.6% were graded as 5, indicating they were highly suggestive of malignancy, while 29.4% were graded as 6, signifying known biopsy-proven malignancy. These results align closely with the study by Shalaby et al [19], where all 20 patients studied had pathologically proven malignancies (i.e., BI-RADS VI) and were diagnosed with locally advanced breast carcinoma (stages IIB, IIIA, and IIIB).…”
Section: Discussionsupporting
confidence: 91%
“…In the study by Shalaby et al [19], tumor response was assessed by comparing image findings after two cycles of chemotherapy, facilitated by clip placement. Wire localization was performed on radiopaque clips at the end of NACT in patients with non-palpable lesions, providing an accurate and straightforward approach for the surgeon to the tumor bed.…”
Section: Discussionmentioning
confidence: 99%
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“…Once a complete tumor response is achieved through NACT, radiological and pathological examinations of the former tumor region post-treatment are necessary. To accurately pinpoint the location of the tumor, marker clips (MCs) are commonly used, which are implanted through either ultrasound (US) or mammographic imaging 6 , 7 . However, US often falters in identifying the MC following NACT, especially in cases of total clinical response, prompting the need for mammography and incurring added radiation exposure 8 , 9 …”
Section: Introductionmentioning
confidence: 99%
“…Radiologic complete response is the presence of a marking clip overlying a normal breast parenchyma or an architectural distortion pattern in sonomammography (clip sign) [7]. It has been documented that pathologic complete response is a prognostic marker for breast ca ncer patients after NAC, however, clinical, and radiologic complete response complicates the surgery because it is difficult to locate the original site of the primary tumor [8]. The gold standard of good pathological assessment is the identification of the area that best correlates with clinical and radiological findings in the NAC-BCS patients [9].…”
Section: Introductionmentioning
confidence: 99%