Time Is On Our Side: Setting the Stage for Single Step Breast Biopsy and Localization Procedure

Congress:

ECR 2020

Poster Number:

C-08556

Type:

Educational Exhibit

Keywords:

Performed at one institution, Observational, Retrospective, Image verification, Foreign bodies, Cancer, Treatment effects, Surgery, Chemotherapy, Ultrasound, MR, Mammography, Management, Lymph nodes, Breast

Authors:

M. K. Hayes¹, H. Wright², E. Bloomquist²; ¹Hollywood, Florida, FL/US, ²Hollywood/US

DOI:

10.26044/ecr2020/C-08556

DOI-Link:

https://dx.doi.org/10.26044/ecr2020/C-08556

Fig. 1: DIAGNOSIS: In November 2018, a 64-year-old female underwent concomitant needle...

Fig. 2: SURVEILLANCE IMAGING in March 2019 during neoadjuvant treatment was rCR in the...

Fig. 3: SURGERY: In May 2019, the RIGHT BREAST SAVI SCOUT GUIDED PARTIAL MASTECTOMY had...

Fig. 4: RESUME ROUTINE ANNUAL IMAGING: In January 2020 bilateral breast imaging was...

Learning objectives

Review needle biopsy with concomitant wirefree localization of suspicious breast/axillary lesions.

Background

Longer-term use of preoperativewire-free localization (WFL) in the breast and lymph nodes (LN), lead to further evaluation of WFL at the time of biopsy(Bx-WFL). For patients who have lesions known to require both needle core Bxand Localization to guide surgery, a concomitant Bx-WFL provides a dual function WFL, as Clip marker and WFL, with potential to decrease redundant needle procedures of the same lesion.

Findings and procedure details

Procedure details: For each Bx-WFL procedure 2016 01, August - 2019 01 May, age, image-modality,location, device complication, time to surgery, and surgical result was recorded.Descriptive statistics for age and time to surgery were calculated using spreadsheet software (Excel 2013, Microsoft). Results: 65 female patients age 20-82 (mean 49.2 years), underwent 84 Bx-WFL SCOUT (47 breast, 37 axilla), via Ultrasound (83) or Mammography (1) guidance. All SCOUTS were excised with 0 device related complications in the 52/65 who completed surgery 4-270 (average 106) days after WFL....

Conclusion

Patients who require both needle biopsy and surgery may benefit from concomitant BX-WFL,where WFL functions as both Clip marker and WFL. This preserves surgical options, MRI preoperative planning, and may eliminate redundant needle procedures.

Personal information and conflict of interest

M. K. Hayes; Hollywood, Florida, FL/US - Consultant at Hologic, Inc, Merit, Inc, QT Ultrasound, Health Beacons, Inc H. Wright; Hollywood/US - nothing to disclose E. Bloomquist; Hollywood/US - nothing to disclose

References

1. Hayes MK, Update on Pre-Operative Breast Localization, RCL1213 RadiologicClinicsof North America, 17-Apr-2017; 10.1016/j.rcl.2016.12.012 2. Nguyen TT, Hieken TJ, Glazebrook KN, Boughey JC. Localizing the Clipped Node in Patients with Node-Positive Breast Cancer Treated with Neoadjuvant Chemotherapy: Early Learning Experience and Challenges. Annals of surgical oncology 2017; 24:3011-6. 3. Boughey JC, Ballman KV, Le-Petross HT, et al. Identification and Resection of Clipped Node Decreases the False-negative Rate of Sentinel Lymph Node Surgery in Patients Presenting With Node-positive Breast Cancer (T0-T4, N1-N2) Who Receive Neoadjuvant Chemotherapy:...