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Metallic Marker Placement After Stereotactic Core Biopsy of Breast Calcifications: Comparison of Two Clips and Deployment Techniques

Frederick R. Margolin1, Lauren Kaufman, Susan R. Denny, Richard P. Jacobs and John D. Schrumpf

1 All authors: Breast Health Center, California Pacific Medical Center, 3698 California St., San Francisco, CA 94118.



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  		Fig. 1. —Photograph shows clip extracted from dispenser being held within jaws of crimping pliers. (Reprinted with permission from [10])

 


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  		Fig. 2. —Photograph shows hemostat being used to insert crimped clip into bevel of spinal needle. (Reprinted with permission from [10])

 


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  		Fig. 3B. —54-year-old woman with two clusters of calcification in inferior right breast. Stereotactic images after biopsy of 4-mm cluster show 18-gauge clip (open arrows) adjacent to 11-gauge clip (solid arrows).

 


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  		Fig. 3C. —54-year-old woman with two clusters of calcification in inferior right breast. Mediolateral oblique mammogram of inferior right breast after second biopsy and clip deployment shows both clips (arrows) marking sites of calcifications in A. Results of both biopsies showed benign fibrocystic calcifications.

 


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  		Fig. 3A. —54-year-old woman with two clusters of calcification in inferior right breast. Mediolateral oblique mammogram of inferior right breast shows 3-mm cluster of calcification (solid arrows) and 4-mm adjacent cluster of calcification (open arrows). Three-millimeter cluster was biopsied with 11-gauge probe, and clip was deployed. Patient requested postponement of biopsy of 4-mm cluster. This biopsy was done 8 days later with 14-gauge probe and 18-gauge clip deployment.

 

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