Metallic Fragments on Mammography After Intraoperative Deployment of Radiopaque Clips

Katz, Judith; Homer, Michael; Graham, Roger A.; Rothschild, Janice G.

doi:10.2214/ajr.175.6.1751591

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…Katz et al [57] have described the occurrence of small metallic fragments appearing in the vicinity of surgical ligating clips deployed at surgical biopsy, with the risk of misclassifying these metallic fragments as new suspicious calcifications on subsequent mammograms. Trop recently reported the appearance of microcalcifications at the biopsy site several months after stereotactic biopsy and deployment of a collagen-based breast marker.…”

Section: Stability Of Biopsy Clipsmentioning

confidence: 99%

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

Thomassin‐Naggara

Lalonde

David

et al. 2011

Breast Cancer Res Treat

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In the last decade, percutaneous breast biopsies have become a standard for the management of breast diseases. Biopsy clips allow for precise lesion localization, thus minimizing the volume of breast to be resected at the time of surgery. With the development of many imaging techniques (including mammography, sonography, and breast magnetic resonance imaging), one of the challenges of the multidisciplinary became to synthesize all informations obtained from the various imaging procedures. The use of biopsy markers after percutaneous biopsy is one of the keys for optimal patient management, helping the radiologist to deal with multiple lesions, to insure correlation across different imaging modalities and to follow-up benign lesions, helping the oncologist by marking a tumor prior to neoadjuvant chemotherapy, helping the surgeon by facilitating preoperative needle localization, to precisely mark the margins of extensive disease and to guide intraoperative tumor resection, and helping the pathologist to insure the lesion of interest has been removed and to identify the region of interest in a mastectomy specimen. We believe biopsy clip markers should be deployed after all percutaneous interventions and present in this review the arguments to support this statement. Minimal indications for clip deployment will also be detailed.

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Section: Stability Of Biopsy Clipsmentioning

confidence: 99%

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

Thomassin‐Naggara

Lalonde

David

et al. 2011

Breast Cancer Res Treat

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“…In a study of 99 patients, where clips were placed to mark breast biopsy excision margins, metallic fragments were seen in 57% of patients after the procedure 6 . In these cases, the fragments were located close to the clips and were denser than calcium.…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, the fragments were located close to the clips and were denser than calcium. Katz et al noted that emulsion pick off can also simulate metallic fragments 6 …”

Section: Discussionmentioning

confidence: 99%

Tungsten particles mimicking the microcalcifications seen in ductal carcinoma in situ

Bessell-Browne

Beer

Wylie

2006

Australasian Radiology

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Mammographic detection and characterization of breast microcalcifications is important in the early diagnosis of ductal carcinoma in situ. A case is presented where tungsten microparticles simulated microcalcifications and prompted a full diagnostic assessment. The likely origin of the particles is discussed and the published work on metallic particles in the breast is reviewed. Awareness of possible alternative causes for apparent microcalcifications at mammography is important for the breast radiologist and pathologist.

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“…42 An unusual occurrence after needle localization and surgical biopsy is the finding of metallic particles on subsequent mammograms. [43][44][45] The precise etiology of this phenomenon is unknown but may represent shavings produced during the needle and wire exchange or during surgery. Use of a braided hook-wire resulted in wire fragments in the breast after intraoperative cutting of the wire.…”

Section: Complicationsmentioning

confidence: 99%

Needle Localization for Surgical Procedures

Philpotts¹

Imaging-Guided Interventional Breast Techniques

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Metallic Fragments on Mammography After Intraoperative Deployment of Radiopaque Clips

Cited by 7 publications

References 7 publications

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

A plea for the biopsy marker: how, why and why not clipping after breast biopsy?

Tungsten particles mimicking the microcalcifications seen in ductal carcinoma in situ

Needle Localization for Surgical Procedures

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