Clip placement facilitating the approach to breast lesions

Abstract

We describe a novel technique for marking non-palpable breast lesions with the aim of selecting the best approach prior to performing a biopsy. The technique employs a new coil, specifically designed for breast localization, guided by stereotaxy. This technique is reserved for selected cases in which the lesion is seen peripherally in only one mammographic view with negative or non-conclusive ultrasonographic results, and deeply seated after a stereotactic study. Once the coil is released beside the lesion, the shortest approach from the skin may be employed to perform the biopsy. To our knowledge, this is the first report of this technique.

Potential for Contamination during Removal of Radioactive Seeds from Surgically Excised Tissue

“…Today, 125 I seeds are used most commonly in permanent implants for prostate cancer and are beginning to be used as permanent implants for breast cancer (Borchers et al 2004;Keller et al 2005). Over the past few years, several alternatives to the use of pre-operative wire localization for nonpalpable breast lesions have been investigated (Bergaz et al 2002;Li et al 2005). Some studies have focused on the use of 125 I seeds for more precise localization of lesions (Gray et al 2001(Gray et al , 2004Cox et al 2003;Hughes et al 2008).…”

Development of an MRI/x-ray/ultrasound compatible marker for pre-operative breast tumour localization

“…A number of investigators have reported novel markers based on commercial products or alternative technology. Bergaz (2002) has reported on the use of a 3 mm stainless steel clip which is released with a specialized applicator and clearly visible by mammography. However, studies have indicated that these clips can migrate with time, limiting their accuracy for excisional biopsy purposes (Birdwell and Jackman 2003).…”