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Fig. 8 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 8

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

Fig. 8Fig. 8

42-year-old patient with breast lump and axillary masses, the patient came for tru-cut biopsy, which shows advanced breast carcinoma, planned for neoadjuvant chemotherapy and metallic clip placement. The patient received first cycle chemotherapy and came for clip insertion, Breast sonomamography after clip placement a CC view and b ultrasound images showing the metallic clip seen inside the upper outer quadrant mass lesion with no artifact or posterior acoustic shadowing hindering proper visualization of the lesion. MRI of both breasts done after other cycle of NAC c1 T1WIs, c2 T2WIs, c3 post contrast images and c4 subtracted post contrast images) showing the signal void of the inserted surgical clip inside the previously noted breast lesion, with no difficulty in characterization of the lesion. After completing the course of neoadjuvant therapy, follow up sonomamography was done d1 ultrasound image and d2 MLO view showing the surgical clips still seen at the left breast irregular mass lesion which shows appreciable regressive course as regards the size with the clip still seen in the same site compared to the previous studies e ultrasound image shows preoperative wire localization guided by the previously inserted surgical clip due to appreciable regressive course of the size of the lesion

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