title: Detectability of Hygroscopic Clips Used in Breast Cancer Surgery.
abstract: Sonographically detectable clips were introduced over the last decade. We retrospectively studied the rate and duration of sonographically detectable clip detectability in patients with breast cancer who had sonographically detectable clips inserted over a 2-year period. Nine of 26 patients had neoadjuvant chemotherapy, with all clips remaining detectable 140 to 187 days after insertion. Six of the 9 had intraoperative sonographic localization, with 1 reoperation (17%). Eleven additional patients with nonpalpable tumors and sonographically detectable clips had intraoperative sonographic localization with 1 reoperation (9%). In 1 patient, a sonographically detectable clip enabled intraoperative identification of a suspicious lymph node. There were no complications or clip migration. Sonographically detectable clips are helpful in breast cancer surgery with and without neoadjuvant chemotherapy, remaining detectable for many months and often averting preoperative localization and scheduling difficulties.
authors.affiliation: Breast Health Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Moshe
authors.initials: M
authors.lastname: Carmon
authors.affiliation: Breast Health Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Oded
authors.initials: O
authors.lastname: Olsha
authors.affiliation: Breast Imaging Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: David
authors.initials: D
authors.lastname: Gekhtman
authors.affiliation: Breast Imaging Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Irena
authors.initials: I
authors.lastname: Nikitin
authors.affiliation: Hala: the Rachel Nash Jerusalem Comprehensive Breast Clinic, Jerusalem, Israel.
authors.forename: Yamin
authors.initials: Y
authors.lastname: Cohen
authors.affiliation: Hala: the Rachel Nash Jerusalem Comprehensive Breast Clinic, Jerusalem, Israel.
authors.forename: Michael
authors.initials: M
authors.lastname: Messing
authors.affiliation: Hala: the Rachel Nash Jerusalem Comprehensive Breast Clinic, Jerusalem, Israel.
authors.forename: Natali
authors.initials: N
authors.lastname: Lioubashevsky
authors.affiliation: Breast Health Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Ribhi
authors.initials: R
authors.lastname: Abu Dalo
authors.affiliation: Breast Health Unit, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Tal
authors.initials: T
authors.lastname: Hadar
authors.affiliation: Department of Pathology, Shaare Zedek Medical Center, Hebrew University, Jerusalem, Israel.
authors.forename: Eliahu
authors.initials: E
authors.lastname: Golomb
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001940:Breast / Q000000981:diagnostic imaging / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D013525:Surgical Instruments; D016217:Ultrasonography, Mammary / Q000379:methods*
keywords: biopsy marker clips; breast cancer; breast ultrasound; localization; sonographically detectable clips