Detectability of Hygroscopic Clips Used in Breast Cancer Surgery |
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| Authors: | Moshe Carmon MD Oded Olsha MBBS David Gekhtman MD Irena Nikitin MD Yamin Cohen MD Michael Messing MD Natali Lioubashevsky MD Ribhi Abu Dalo MD Tal Hadar MD Eliahu Golomb MD PhD |
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| Affiliation: | 1. Breast Health Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel;2. Breast Imaging Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel;3. Hala: the Rachel Nash Jerusalem Comprehensive Breast Clinic, Jerusalem, Israel;4. Department of Pathology, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel |
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| Abstract: | Sonographically detectable clips were introduced over the last decade. We retrospectively studied the rate and duration of sonographically detectable clip detectability in patients with breast cancer who had sonographically detectable clips inserted over a 2‐year period. Nine of 26 patients had neoadjuvant chemotherapy, with all clips remaining detectable 140 to 187 days after insertion. Six of the 9 had intraoperative sonographic localization, with 1 reoperation (17%). Eleven additional patients with nonpalpable tumors and sonographically detectable clips had intraoperative sonographic localization with 1 reoperation (9%). In 1 patient, a sonographically detectable clip enabled intraoperative identification of a suspicious lymph node. There were no complications or clip migration. Sonographically detectable clips are helpful in breast cancer surgery with and without neoadjuvant chemotherapy, remaining detectable for many months and often averting preoperative localization and scheduling difficulties. |
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| Keywords: | biopsy marker clips breast cancer breast ultrasound localization sonographically detectable clips |
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