Asian Pacific Journal of Cancer Prevention
- Volume 16 Issue 18
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- Pages.8339-8343
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- 2016
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- 1513-7368(pISSN)
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- 1513-7368(eISSN)
DOI QR Code
Outcome and Cost Effectiveness of Ultrasonographically Guided Surgical Clip Placement for Tumor Localization in Patients undergoing Neo-adjuvant Chemotherapy for Breast Cancer
- Masroor, Imrana (Department of Radiology, Aga Khan University Hospital) ;
- Zeeshan, Sana (Department of Surgery, Aga Khan University Hospital) ;
- Afzal, Shaista (Department of Radiology, Aga Khan University Hospital) ;
- Sufian, Saira Naz (Department of Radiology, Aga Khan University Hospital) ;
- Ali, Madeeha (Department of Surgery, Aga Khan University Hospital) ;
- Khan, Shaista (Department of Surgery, Aga Khan University Hospital) ;
- Ahmad, Khabir (Department of Surgery, Aga Khan University Hospital)
- Published : 2016.01.11
Abstract
Background: To determine the outcome and cost saving by placing ultrasound guided surgical clips for tumor localization in patients undergoing neo-adjuvant chemotherapy for breast cancer. Materials and Methods: This retrospective cross sectional analytical study was conducted at the Department of Diagnostic Radiology, Aga Khan University Hospital, Karachi, Pakistan from January to December 2014. A sample of 25 women fulfilling our selection criteria was taken. All patients came to our department for ultrasound guided core biopsy of suspicious breast lesions and clip placement in the index lesion prior to neo-adjuvant chemotherapy. All the selected patients had biopsy proven breast cancer. Results: The mean age was
Keywords
Breast cancer;neo adjuvant chemotherapy;biopsy;surgical clip marker
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References
- Abdel-Razeq H, Marei L (2011). Current neoadjuvant treatment options for HER2-positive breast cancer. Biologics, 5, 87-94
- Baron LF, Baron PL, Ackerman SJ, Durden DD, Pop TL Jr (2000). Sonographically guided clip placement facilitates localization of breast cancer after neoadjuvant chemotherapy. Am J Roentgenol, 174, 539-40 https://doi.org/10.2214/ajr.174.2.1740539
- Dash N, Chafin S, Johnson RR, Contractor FM (1999). Usefulness of tissue marker clips in patients undergoing neoadjuvant chemotherapy for breast cancer. Am J Roentgenol, 173, 911-7 https://doi.org/10.2214/ajr.173.4.10511147
- Ediken BS, Fornage BD, Bedi DG, et al (1999). US-guided implantation of metallic markers for permanent localization of the tumor bed in patients with breast cancer who undergo preoperative chemotherapy. Radiology, 213, 895-900 https://doi.org/10.1148/radiology.213.3.r99dc34895
- Genson CC, Blane CE, et al (2007). Effects on breast MRI of artifacts caused by metallic tissue marker clips. Am J Roentgenol, 188, 372-6 https://doi.org/10.2214/AJR.05.1254
- Kaufmann M, von Minckwitz G, Bear HD, et al (2007). Recommendations from an international expert panel on the use of neoadjuvant (primary) systemic treatment of operable breast cancer: new perspectives 2006. Ann Oncol, 18, 1927-34. https://doi.org/10.1093/annonc/mdm201
- Kaufmann M, von Minckwitz G, Mamounas EP, et al (2012). Recommendations from an international consensus conference on the current status and future of neoadjuvant systemic therapy in primary breast cancer. Ann Surg Oncol, 19, 1508-16 https://doi.org/10.1245/s10434-011-2108-2
- Lee SY, Kook SH, Kwag HJ (2005). The results and usefulness of marker clip placement after ultrasound-guided mammotome excision of breast lesion. J Korean Radiol Soc, 52, 207-13 https://doi.org/10.3348/jkrs.2005.52.3.207
- Lobbes MB, Prevos R, Smidt M, et al (2013). The role of magnetic resonance imaging in assessing residual disease and pathologic complete response in breast cancer pa¬tients receiving neoadjuvant chemotherapy: a systematic review. Insights Imaging, 4, 163-75 https://doi.org/10.1007/s13244-013-0219-y
- Margolin FR, Jacobs RP, Denny SR, Schrumpf JD (2003). Clip placement after sonographically guided percutaneous breast biopsy. Breast J, 9, 226-30 https://doi.org/10.1046/j.1524-4741.2003.09319.x
- Oh JL, Nguyen G, Whitman GJ, et al (2007). Placement of radiopaque clips for tumor localization in patients un¬dergoing neoadjuvant chemotherapy and breast conservation therapy. Cancer, 110, 2420-7 https://doi.org/10.1002/cncr.23068
- Uematsu T (2007). Commercially available titanium clip placement following a sonographically guided core needle biopsy of breast. Breast J, 13, 624-6 https://doi.org/10.1111/j.1524-4741.2007.00502.x
- Youn I, Choi SH, Kook SH, Choi YJ, et al (2015). Ultrasonographyguided surgical clip placement for tumor localization in patients undergoing neoadjuvant chemotherapy for breast cancer. J Breast Cancer, 18, 44-49. https://doi.org/10.4048/jbc.2015.18.1.44