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자료유형
학술저널
저자정보
저널정보
한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.18 No.1
발행연도
2015.1
수록면
44 - 49 (6page)

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Purpose: We investigated the feasibility of using surgical clips asmarkers for tumor localization and their effect on the imagingevaluation of treatment responses after neoadjuvant chemotherapy(NAC). Methods: A total of 16 breast cancers confirmed byneedle biopsy in 15 patients were included in this study fromOctober 2012 to June 2014. Under ultrasonography (US)-guidance,the surgical clips were placed prior to NAC. Additionalmammography, breast US, and breast magnetic resonance examinationswere performed within 10 days before surgery. Thetime period from marker insertion to operation date was documented. Images acquired via the three modalities were evaluatedfor the following parameters: location of clip, clip migration(>1 cm), the presence of complications from clip placement,and the effect of clips on the assessment of treatment. Results:The mean time period was 128.6±34.4 days (median, 132.0days) from the date of clip insertion to the date of surgery. Themean number of inserted clips was 2.3±0.7 (median, 2.0). Clipmigration was not visualized by imaging in any patient, and therewere no complications reported. Surgical clips did not negativelyaffect the assessment of treatment responses to NAC. Conclusion:Surgical clips may replace commercial tissue markers fortumor localization in breast cancer patients undergoing NACwithout migration. Surgical clips are well tolerated and safe forthe patient, easily visualized on imaging, do not interfere withtreatment response, and are cost-effective.

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