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Intraoperative Loss of Core Biopsy Clips: Clinical Implications

Kristine Calhoun1, Armando Giuliano1 and R. James Brenner2

1 Joyce Eisenberg Keefer Breast Center, John Wayne Cancer Institute at St. John's Health Center, Santa Monica, CA.
2 Department of Radiology, University of California, San Francisco–Mount Zion Medical Center, 1600 Divisadero St., H2804, San Francisco, CA 94115-1667.


Figure 1
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  		Fig. 1A —39-year-old woman with lost biopsy marking clip. Craniocaudal (A) and mediolateral (B) mammograms show needle localization of biopsy marking clip (arrow).

 

Figure 2
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  		Fig. 1B —39-year-old woman with lost biopsy marking clip. Craniocaudal (A) and mediolateral (B) mammograms show needle localization of biopsy marking clip (arrow).

 

Figure 3
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  		Fig. 1C —39-year-old woman with lost biopsy marking clip. Sequential specimen radiographs show tissue with greatest diameter of 3 cm (C) and 2 cm and 1 cm (D) obtained after excision of clip.

 

Figure 4
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  		Fig. 1D —39-year-old woman with lost biopsy marking clip. Sequential specimen radiographs show tissue with greatest diameter of 3 cm (C) and 2 cm and 1 cm (D) obtained after excision of clip.

 

Figure 5
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  		Fig. 1E —39-year-old woman with lost biopsy marking clip. Mediolateral mammogram shows findings on postoperative day 18.

 

Figure 6
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  		Fig. 2A —Sizes of biopsy marking clip and standard medium surgical clip. Photograph shows 1-mm biopsy site marker (arrow).

 

Figure 7
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  		Fig. 2B —Sizes of biopsy marking clip and standard medium surgical clip. Photograph shows surgical clip (arrow).

 

Figure 8
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  		Fig. 3A —Size discrepancy between clips and suction aperture. Photograph shows biopsy site marker (arrow) and Yankauer suction catheter aperture.

 

Figure 9
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  		Fig. 3B —Size discrepancy between clips and suction aperture. Photograph shows surgical clip (arrow) and Yankauer suction catheter aperture.

 

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