Abnormal mammography and sonography associated with foreign-body giant-cell reaction after stereotactic vacuum-assisted breast biopsy with carbon marking

Ruiz-Delgado, María Luisa; López-Ruiz, José; Saiz-López, Alberto

doi:10.1080/02841850802452075

Cited by 27 publications

(23 citation statements)

References 26 publications

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“…69 No interaction of the suspension with histopathological assessment has been reported. Of note, however, in a retrospective series by Ruiz-Delgado et al, 72 in which 130 patients who underwent charcoalsuspension localization and excision were followed up at 1 year after surgery with mammography, 4 patients were identified with suspicious radiological images (spiculated masses). Histopathological analyses demonstrated foreign-body giant-cell reaction attributable to charcoal in all 4 patients, 72 which emphasizes the need to remove all charcoal suspension, including the injection tract, during surgery.…”

Section: Magnetically Guided Localizationmentioning

confidence: 98%

Surgical treatment of nonpalpable primary invasive and in situ breast cancer

et al. 2015

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Breast cancer is the most-common cancer among women worldwide, and over one-third of all cases diagnosed annually are nonpalpable at diagnosis. The increasingly widespread implementation of breast-screening programmes, combined with the use of advanced imaging modalities, such as magnetic resonance imaging (MRI), will further increase the numbers of patients diagnosed with this disease. The current standard management for nonpalpable breast cancer is localized surgical excision combined with axillary staging, using sentinel-lymph-node biopsy in the clinically and radiologically normal axilla. Wire-guided localization (WGL) during mammography is a method that was developed over 40 years ago to enable lesion localization preoperatively; this technique became the standard of care in the absence of a better alternative. Over the past 20 years, however, other technologies have been developed as alternatives to WGL in order to overcome the technical and outcome-related limitations of this technique. This Review discusses the techniques available for the surgical management of nonpalpable breast cancer; we describe their advantages and disadvantages, and highlight future directions for the development of new technologies.

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Section: Magnetically Guided Localizationmentioning

confidence: 98%

Surgical treatment of nonpalpable primary invasive and in situ breast cancer

et al. 2015

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“…Because of the stability of the charcoal powder, a delayed surgery after the localization procedure is possible; on the contrary, methylene blue has a fast dispersion in the tissue. A potential disadvantage of carbon marking is obstruction of needle tip due to precipitation of charcoal particles [35]; moreover, foreign-body giant-cell reactions mimicking malignancy have been reported after vacuum-assisted breast biopsy with carbon marking [36]. Rose et al reported in a comparison study between carbon marking and wire-guided excision a close or involved margins rate of 18.9% (27/143) with the former technique [37].…”

Section: Preoperative Localization Techniquesmentioning

confidence: 99%

Preoperative Localization and Surgical Margins in Conservative Breast Surgery

Corsi

Sorrentino

Bossi

et al. 2013

International Journal of Surgical Oncology

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Breast-conserving surgery (BCS) is the treatment of choice for early breast cancer. The adequacy of surgical margins (SM) is a crucial issue for adjusting the volume of excision and for avoiding local recurrences, although the precise definition of an adequate margins width remains controversial. Moreover, other factors such as the biological behaviour of the tumor and subsequent proper systemic therapies may influence the local recurrence rate (LRR). However, a successful BCS requires preoperative localization techniques or margin assessment techniques. Carbon marking, wire-guided, biopsy clips, radio-guided, ultrasound-guided, frozen section analysis, imprint cytology, and cavity shave margins are commonly used, but from the literature review, no single technique proved to be better among the various ones. Thus, an association of two or more methods could result in a decrease in rates of involved margins. Each institute should adopt its most congenial techniques, based on the senologic equipe experience, skills, and technologies.

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“…ROLL is most accurate (up to 94% clear margins) but is expensive, not universally available, and carries risks associated with radioactive tracers, especially if dispersed widely after accidental intraductal injection [25,59,60]. Carbon marking is less accurate (80% clear margins) and foreign-body reactions may mimic malignancy on follow up imaging [61,62]. Clip marking at the time of biopsy is particularly useful in the setting of neoadjuvant chemotherapy, where the tumour may regress and become invisible on conventional imaging [63].…”

Section: Discussionmentioning

confidence: 99%