Clip migration within 15 days of 11-gauge vacuum-assisted stereotactic breast biopsy.
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Biomedical subjects
Publications and source records attributed to Jay Parikh.
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A 39-year-old woman underwent 11-gauge vacuum-assisted stereotactic biopsy of a cluster of calcifications at the 5 o'clock location in the left breast. Initial clip placement was confirmed by mammograms to be at the biopsy site. The patient experienced episodic minimal bleeding at the skin entry site when she went home. The patient presented 6 weeks later with a history of progressive discomfort and lump at the stereotactic breast biopsy scar site. Ultrasound confirmed clip migration to the skin incision site. The clip was removed percutaneously by the radiologist, relieving the patient of her symptoms.
Image-guided breast tissue sampling has become an acceptable alternative to open surgical biopsy for nonpalpable lesions. Advantages of minimally invasive core biopsy compared to open surgical biopsy include lower cost, lower complication rates, and less cosmetic deformity for patients. However, false-negative core biopsies can occur. Thus the imaging of a breast lesion and the histologic result of the core biopsy must be carefully correlated. This involves communication between radiology and pathology.