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Displacement of Microcalcifications during Stereotactic 11-gauge Directional Vacuum-assisted Biopsy with Marking Clip Placement: Case Report¹

¹ From the Breast Imaging Center, Thomas Jefferson University Hospital, 1100 Walnut St, M.O.B./Ground Level, Philadelphia, PA 19107. Received May 22, 2000; revision requested July 17; revision received August 30; accepted September 6. Address correspondence to S.G.L. (e-mail: seraph99@flash.net).

View larger version (128K): [in a new window]   Figure 1a.    (a) Right craniocaudal mammogram depicts a cluster of microcalcifications (arrow) in the outer part of the breast targeted for biopsy. (b) Postbiopsy right craniocaudal mammogram shows no residual microcalcifications at the biopsy site, which is demarcated by air bubbles (solid arrow). The two marking clips are 3 cm posteromedial to the biopsy site. There are two faint punctate microcalcifications (open arrow) adjacent and posterior to the marking clips. (c) Postbiopsy magnified right craniocaudal mammogram better demonstrates the two punctate microcalcifications (arrow) adjacent to the marking clips. Magnified 6-month follow-up mammograms in the (d) craniocaudal and (e) mediolateral oblique projections demonstrate at least two microcalcifications (arrow) close to the two marker clips.

View larger version (138K): [in a new window]   Figure 1b.    (a) Right craniocaudal mammogram depicts a cluster of microcalcifications (arrow) in the outer part of the breast targeted for biopsy. (b) Postbiopsy right craniocaudal mammogram shows no residual microcalcifications at the biopsy site, which is demarcated by air bubbles (solid arrow). The two marking clips are 3 cm posteromedial to the biopsy site. There are two faint punctate microcalcifications (open arrow) adjacent and posterior to the marking clips. (c) Postbiopsy magnified right craniocaudal mammogram better demonstrates the two punctate microcalcifications (arrow) adjacent to the marking clips. Magnified 6-month follow-up mammograms in the (d) craniocaudal and (e) mediolateral oblique projections demonstrate at least two microcalcifications (arrow) close to the two marker clips.

View larger version (144K): [in a new window]   Figure 1c.    (a) Right craniocaudal mammogram depicts a cluster of microcalcifications (arrow) in the outer part of the breast targeted for biopsy. (b) Postbiopsy right craniocaudal mammogram shows no residual microcalcifications at the biopsy site, which is demarcated by air bubbles (solid arrow). The two marking clips are 3 cm posteromedial to the biopsy site. There are two faint punctate microcalcifications (open arrow) adjacent and posterior to the marking clips. (c) Postbiopsy magnified right craniocaudal mammogram better demonstrates the two punctate microcalcifications (arrow) adjacent to the marking clips. Magnified 6-month follow-up mammograms in the (d) craniocaudal and (e) mediolateral oblique projections demonstrate at least two microcalcifications (arrow) close to the two marker clips.

View larger version (181K): [in a new window]   Figure 1d.    (a) Right craniocaudal mammogram depicts a cluster of microcalcifications (arrow) in the outer part of the breast targeted for biopsy. (b) Postbiopsy right craniocaudal mammogram shows no residual microcalcifications at the biopsy site, which is demarcated by air bubbles (solid arrow). The two marking clips are 3 cm posteromedial to the biopsy site. There are two faint punctate microcalcifications (open arrow) adjacent and posterior to the marking clips. (c) Postbiopsy magnified right craniocaudal mammogram better demonstrates the two punctate microcalcifications (arrow) adjacent to the marking clips. Magnified 6-month follow-up mammograms in the (d) craniocaudal and (e) mediolateral oblique projections demonstrate at least two microcalcifications (arrow) close to the two marker clips.

View larger version (194K): [in a new window]   Figure 1e.    (a) Right craniocaudal mammogram depicts a cluster of microcalcifications (arrow) in the outer part of the breast targeted for biopsy. (b) Postbiopsy right craniocaudal mammogram shows no residual microcalcifications at the biopsy site, which is demarcated by air bubbles (solid arrow). The two marking clips are 3 cm posteromedial to the biopsy site. There are two faint punctate microcalcifications (open arrow) adjacent and posterior to the marking clips. (c) Postbiopsy magnified right craniocaudal mammogram better demonstrates the two punctate microcalcifications (arrow) adjacent to the marking clips. Magnified 6-month follow-up mammograms in the (d) craniocaudal and (e) mediolateral oblique projections demonstrate at least two microcalcifications (arrow) close to the two marker clips.