title: A plea for the biopsy marker: how, why and why not clipping after breast biopsy?
abstract: In the last decade, percutaneous breast biopsies have become a standard for the management of breast diseases. Biopsy clips allow for precise lesion localization, thus minimizing the volume of breast to be resected at the time of surgery. With the development of many imaging techniques (including mammography, sonography, and breast magnetic resonance imaging), one of the challenges of the multidisciplinary became to synthesize all informations obtained from the various imaging procedures. The use of biopsy markers after percutaneous biopsy is one of the keys for optimal patient management, helping the radiologist to deal with multiple lesions, to insure correlation across different imaging modalities and to follow-up benign lesions, helping the oncologist by marking a tumor prior to neoadjuvant chemotherapy, helping the surgeon by facilitating preoperative needle localization, to precisely mark the margins of extensive disease and to guide intraoperative tumor resection, and helping the pathologist to insure the lesion of interest has been removed and to identify the region of interest in a mastectomy specimen. We believe biopsy clip markers should be deployed after all percutaneous interventions and present in this review the arguments to support this statement. Minimal indications for clip deployment will also be detailed.
authors: Department of Radiology, Service de Radiologie, Hôpital Tenon, Hôpitaux Universitaires Paris Est, Université Pierre et Marie Curie, Cancer Est, 4 rue de Chine, 75020 Paris, France. isabelle.thomassin@tnn.aphp.fr
authors: Isabelle
authors: I
authors: Thomassin-Naggara
authors: Lucie
authors: L
authors: Lalonde
authors: Julie
authors: J
authors: David
authors: Emile
authors: E
authors: Darai
authors: Serge
authors: S
authors: Uzan
authors: Isabelle
authors: I
authors: Trop
mesh_terms: D001707:Biopsy, Needle / Q000009:adverse effects / Q000379:methods; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D005260:Female; D006801:Humans; D019736:Prostheses and Implants / Q000009:adverse effects; D011859:Radiography; D013193:Stainless Steel; D013813:Therapy, Computer-Assisted; D014025:Titanium; D014463:Ultrasonography
chemical_list: D013193:Stainless Steel; D014025:Titanium