ultrasound guided clips insertion within breast masses

Adel, Nashwa; Gerges, Amani Saber; Nasr, Raghda MM; Ameen, Mohamed

doi:10.21608/mjmr.2024.296605.1724

ultrasound guided clips insertion within breast masses

Articles in Press

Document Type : Original Article

Authors

¹ Department of Radiology, El-Minia faculty of medicine

² department of Oncology, Faculty of medicine,, Minia university, Minia, Egypt

³ radiology department faculty of medicine minia university

⁴ Radiology department, Faculty of Medicine, Minia University, Minia, Egypt

10.21608/mjmr.2024.296605.1724

Abstract

Introduction: Neoadjuvant chemotherapy is widely used in different types of breast cancer resulting in reduction of the size of the breast mass changing the scenario of management from being inoperable to operable cases and changing the surgical management in operable cases from radical mastectomy to conservative mastectomy. There is a need for radiopaque markers as clips for localization of these tumor bed.

Objectives: assessment of the safety of clips and their accuracy in detecting the location of the primary breast tumor during exposure to neoadjuvant chemotherapy (NAC).

Patients and methods: The study will include 20 patients with locally advanced breast carcinoma, with or without nodal involvement, planned for neoadjuvant chemotherapy (NAC). All patients will have clip inserted before neoadjuvant chemotherapy (NAC) in small lesions or after 2-3 cycles of chemotherapy in relatively large lesions. Follow up will be done for the patients as regard the location of inserted clips and occurrence of clip migration. Also follow up for complications as pain, infection and hemorrhage.

Results: the clips were accurate in localization of breast mass as in all our patients, only two of them showed subtle migration of the clips which was due to reduction in the size of the mass. Those clips cause no complications to our patients.

Conclusion: The clips can be used efficiently as markers for localization of breast cancer in patients candidate for neo-adjuvant chemotherapy as it showed no migration. The clips are safe to the patients and caused no significant harm to them.

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