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Clip Migration Within 15 Days of 11-Gauge Vacuum-Assisted Stereotactic Breast Biopsy

¹ Women's Diagnostic Imaging Center, Swedish Cancer Institute, 1221 Madison St., Arnold Pavilion, Suite 520, Seattle, WA, 98104.

View larger version (87K): [in a new window]   Fig. 1A. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Immediate postbiopsy craniocaudal (A) and true lateral (B) mammograms show the Gel Mark clip (SenoRx) (white arrow) to be within biopsy site, as denoted by air-filled cavity (hollow white arrow). MicroMark clip (Ethicon Endo-Surgery) from remote stereotactic biopsy (black arrow) is noted.

View larger version (79K): [in a new window]   Fig. 1B. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Immediate postbiopsy craniocaudal (A) and true lateral (B) mammograms show the Gel Mark clip (SenoRx) (white arrow) to be within biopsy site, as denoted by air-filled cavity (hollow white arrow). MicroMark clip (Ethicon Endo-Surgery) from remote stereotactic biopsy (black arrow) is noted.

View larger version (83K): [in a new window]   Fig. 1C. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Initial preoperative needle localization craniocaudal (C) and 90-degree lateral (D) mammograms show Gel Mark clip (Seno Rx) (arrow) to be inferiorly, laterally, and posteriorly displaced with respect to biopsy site, where there is minimal hematoma (hollow arrow). Initial hookwire placed under stereotactic guidance is shown in close approximation to clip, with skin-entry site denoted by round metallic BB placed on breast.

View larger version (86K): [in a new window]   Fig. 1D. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Initial preoperative needle localization craniocaudal (C) and 90-degree lateral (D) mammograms show Gel Mark clip (Seno Rx) (arrow) to be inferiorly, laterally, and posteriorly displaced with respect to biopsy site, where there is minimal hematoma (hollow arrow). Initial hookwire placed under stereotactic guidance is shown in close approximation to clip, with skin-entry site denoted by round metallic BB placed on breast.

View larger version (87K): [in a new window]   Fig. 1E. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Final preoperative needle localization craniocaudal (E) and mediolateral oblique (F) mammograms again confirm Gel Mark clip (Seno Rx) (arrow) to be inferiorly, laterally, and posteriorly displaced with respect to biopsy site, where there is minimal hematoma (hollow arrow). Second hookwire placed under stereotactic guidance is through biopsy site, with skin-entry site denoted by two round metallic BBs placed on breast.

View larger version (86K): [in a new window]   Fig. 1F. —A 60-year-old woman with no family or personal history of breast cancer and a previous benign stereotactic breast biopsy in the right breast underwent percutaneous stereotactic-guided biopsy for indeterminate calcifications at the 11 o'clock position of the right breast. Final preoperative needle localization craniocaudal (E) and mediolateral oblique (F) mammograms again confirm Gel Mark clip (Seno Rx) (arrow) to be inferiorly, laterally, and posteriorly displaced with respect to biopsy site, where there is minimal hematoma (hollow arrow). Second hookwire placed under stereotactic guidance is through biopsy site, with skin-entry site denoted by two round metallic BBs placed on breast.

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