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Fig. 7 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 7

From: Assessment of low-cost surgical metallic clip placement for tumor localization in BIRDAS VI breast cancer patients undergoing neoadjuvant chemotherapy

Fig. 7Fig. 7

37-year-old patient with left breast lump, recently pathologically proven invasive ductal carcinoma (IDC) grade II came for clip insertion before the start of chemotherapy, Breast sonomamography after clip placement a1 CC view, a2 MLO view and b1 ultrasound images showing the surgical clip seen within the left breast lobulated hypoechoic mass (b2) with an adjacent smaller satellite lesion with a clip seen inside, yet both clips show no artifact interfering with images interpretation. MRI of both breasts c1 T1WIs first clip inside lesion c2 T1WIs second clip and c3 post contrast) done showing a signal void of two metallic surgical clips seen at UOQ, still seen inside two left sided ill-defined speculated malignant mass lesions showing evidence of post contrast enhancement. After completing the course of neoadjuvant therapy, follow up sonomamography was done d1 and d2 shows two surgical clips still noted in left breast solid masses showing regressive course as regards the size with the clips still seen in the same site compared to the previous studies

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