title: A case of allergic reaction to surgical metal clips inserted for postoperative boost irradiation in a patient undergoing breast-conserving therapy.
abstract: We report a case of a 28-year-old woman with right-sided breast cancer. The patient had been treated for atopic dermatitis since her infancy. She underwent breast-conserving surgery (BCS) in July 1998, and three titanium clips were placed at the margin of the excision cavity at the time of surgery. Two months after surgery, the patient exhibited a rapid exacerbation of atopic dermatitis. Various drugs were suspected to be the cause of the allergic reaction, but the results of a bi-digital O-ring test (BDORT) suggested an allergic reaction to titanium clips. In August 1999, the patient underwent a second operation to remove the titanium clips under local anesthesia. Allergy to surgical titanium clips is a rare complication, but in patients with a history of severe allergic diseases, a preoperative immunologic examination should be performed and the patient's history of metal allergy should be investigated.
authors.affiliation: Department of Therapeutic Radiology and Oncology, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tamai
authors.forename: M
authors.initials: M
authors.lastname: Mitsumori
authors.forename: S
authors.initials: S
authors.lastname: Fujishiro
authors.forename: M
authors.initials: M
authors.lastname: Kokubo
authors.forename: N
authors.initials: N
authors.lastname: Ooya
authors.forename: Y
authors.initials: Y
authors.lastname: Nagata
authors.forename: K
authors.initials: K
authors.lastname: Sasai
authors.forename: M
authors.initials: M
authors.lastname: Hiraoka
authors.forename: T
authors.initials: T
authors.lastname: Inamoto
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D003876:Dermatitis, Atopic / Q000209:etiology* / Q000601:surgery; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011182:Postoperative Care; D018714:Radiotherapy, Adjuvant; D013525:Surgical Instruments / Q000009:adverse effects; D014025:Titanium / Q000009:adverse effects*
chemical_list: D014025:Titanium