Our Summary

This study looked back at patients who had a type of breast biopsy procedure at one facility between November 2014 and September 2016. The researchers wanted to see how often the small clip that is placed in the breast during the biopsy moves right after the procedure. This is important because the clip helps doctors locate the biopsy site for future reference.

The study found that the clip moved more than half a centimeter away from the biopsy spot in 38% of the cases. The researchers also looked at whether things like the patient’s age, the type of breast issue being biopsied, how dense the breast tissue is, how the biopsy was done, the number of samples taken, the size of the biopsy area, and the type of clip used had any effect on clip movement.

The only factor that was found to have a significant effect was breast density. The less dense the breast tissue, the more likely the clip was to move. So, doctors should be aware that the clip could move, especially in patients with less dense breast tissue, as this could affect how they locate the biopsy site in the future.

FAQs

  1. What was the purpose of the study conducted between November 2014 and September 2016 regarding breast biopsy procedures?
  2. What factors did the researchers look at to see if they had any effect on the movement of the clip after a breast biopsy?
  3. According to the study, what factor significantly influences the movement of the clip placed during a breast biopsy?

Doctor’s Tip

To ensure accurate localization of the biopsy site, it is important to follow up with your doctor after the procedure to confirm the position of the clip. If you notice any changes in your breast or have any concerns, be sure to contact your healthcare provider promptly. Additionally, make sure to attend all recommended follow-up appointments to monitor for any changes in your breast tissue.

Suitable For

Patients who are typically recommended breast biopsy include those who have abnormal findings on a mammogram, ultrasound, or MRI, such as a suspicious lump or mass, changes in breast tissue, or abnormal calcifications. Patients with a family history of breast cancer, a personal history of breast cancer or other breast conditions, or genetic mutations (such as BRCA1 or BRCA2) that increase the risk of breast cancer may also be recommended for a breast biopsy. Additionally, patients with symptoms such as breast pain, nipple discharge, or skin changes may undergo a breast biopsy to further evaluate their condition. Ultimately, the decision to recommend a breast biopsy is based on the individual patient’s medical history, symptoms, and imaging findings.

Timeline

Before the breast biopsy:

  • Patient may notice a lump or abnormality in their breast during a self-exam or routine mammogram
  • Patient consults with their healthcare provider who recommends a biopsy to further investigate the abnormality
  • Patient schedules an appointment for the biopsy procedure
  • Patient undergoes pre-biopsy imaging tests such as a mammogram or ultrasound to locate the exact area to be biopsied

During the breast biopsy:

  • Patient is given local anesthesia to numb the area
  • Doctor uses a needle or surgical method to remove a sample of tissue from the breast
  • A small clip is placed in the breast to mark the biopsy site for future reference
  • Patient may experience some discomfort or mild pain during the procedure
  • Biopsy sample is sent to a lab for analysis

After the breast biopsy:

  • Patient may experience minor bruising or soreness at the biopsy site
  • Results of the biopsy are typically available within a few days to a week
  • Patient follows up with their healthcare provider to discuss the biopsy results
  • If the biopsy shows cancer, patient may undergo further tests and treatment options
  • If the biopsy is benign, patient may need regular follow-up appointments for monitoring

Overall, the breast biopsy process involves a series of steps from initial detection of an abnormality to post-biopsy follow-up care, with the goal of diagnosing and treating any potential breast issues.

What to Ask Your Doctor

  1. What type of biopsy procedure will I be undergoing?
  2. Why is a clip being placed in my breast during the biopsy?
  3. How often does the clip move from its original placement after the biopsy?
  4. What factors can affect the movement of the clip?
  5. Will the movement of the clip impact future imaging or procedures?
  6. How will the location of the clip be tracked and communicated to other healthcare providers?
  7. Are there any specific instructions or precautions I should follow regarding the clip after the biopsy?
  8. How often should I follow up with my doctor regarding the biopsy results and the clip placement?
  9. Are there any potential complications or risks associated with the clip moving?
  10. Is there any additional information or resources available for me to learn more about the biopsy procedure and clip placement?

Reference

Authors: Teichgraeber DC, Martaindale S, Omofoye TS, Hess KR, Parikh JR, Whitman GJ. Journal: Acad Radiol. 2020 Feb;27(2):204-209. doi: 10.1016/j.acra.2019.03.022. Epub 2019 May 7. PMID: 31076332