Question:
Breast Cancer question about clip?
pinkribbons&walking4boobies
2006-08-27 14:14:09 UTC
I go in tomorrow to have a clip put into my tumor? Can anyone tell me alittle about that. I have two tumors I am under the assumption that they will do both. I just found this out on Friday. The doc. is going to discuss things with me tomorrow before hand.....just wondering if anyone can tell me a little about it and how they do it. Thanks.
Seven answers:
GVD
2006-08-27 14:48:31 UTC
Patients presenting with palpable breast cancer are referred for placement of a clip either before receiving chemotherapy or at the time of the original breast biopsy. Patients are selected for this procedure when the initial diagnosis of breast cancer is made with mammography, sonography, and subsequent histologic confirmation. Eligible patients are then enrolled in the neoadjuvant chemotherapy protocol approved by the hospital internal review committee.



Before beginning neoadjuvant chemotherapy, the patient is referred to the mammography center for placement of the clip. Informed written consent is obtained from the patient. The surgical tray is assembled in a sterile fashion with the following items: gloves, sterile drape, scalpel, bandage, surgical clip, and sterile gel. Before MicroMark clip deployment, the applicator is placed on the sterile field and held gently against the tray. The plastic introducer housing the clip is manually extended as far forward as possible. The plastic introducer sleeve has an extended portion that does not overlap the clip and wire system. This extended portion is carefully cut away with the scalpel to ensure that the applicator wire and the clip are not cut. The stylet is removed from the cannula. The applicator clip and wire assembly are fed through the inner cannula until the clip extends 2 mm beyond the tip of the cannula. The plastic introducer sleeve is marked where it meets the entrance hub of the cannula. The clip applicator is gently removed from the inner cannula and placed back on the sterile tray. The stylet is reinserted into the inner cannula.



The patient is positioned and the breast is prepared and draped. The sonographic probe is fitted with the sterile probe cover. Sonographic guidance with a 10-MHz transducer locates the tumor and determines the center. If possible, the dermatotomy is made directly over the center of the tumor because during definitive tumor surgery, the surgeon may include the needle tract in the lumpectomy specimen.



The 11-gauge needle and the inner stylet are inserted into the middle of the tumor. The inner stylet is removed and the MicroMark clip applicator unit is inserted through the needle. The clip is deployed when sonography shows that the tip of the clip extends 2 mm past the tip of the outer cannula. The needle and the applicator unit are pulled out and manual pressure is applied to the site. The skin is cleaned with hydrogen peroxide and pressure is maintained until all bleeding ceases. A bandage is placed over the incision.



When the patient is ready, two-view film-screen mammography is performed with craniocaudal and mediolateral projections. A mediolateral oblique mammogram is obtained when the lesion is not visualized on the mediolateral image because the needle localization is performed in the mediolateral projection, rather than the mediolateral oblique projection. Clip placement is now documented for subsequent definitive surgical treatment after neoadjuvant chemotherapy.





Neoadjuvant chemotherapy before surgery is allowing women to undergo breast conservation surgery rather than mastectomy for the treatment of palpable breast cancer. Locating the tumor for subsequent definitive breast cancer treatment can be problematic when a dramatic or complete response to neoadjuvant chemotherapy occurs.



Good Luck and we'll polish the pink ribbon on the chopper for you tomorrow.
Escobedo
2017-03-01 04:52:48 UTC
1
Batchlor of the Arts
2006-08-31 12:47:17 UTC
consume fruits and vegetables.

Broccoli sprouts contain chemcials that help your body fight cancer cells. Sulphoraphane or Isotheocyanite supports phase two enzymes to help stop cancer cells. I saw this somewhere.
2006-08-30 11:43:07 UTC
Ask your doctor about taking glyconutrients. I pray that you read all my cancer information on my page and my testimonials.



share with the doctor this site glycoscience.org I hope he or she is open-minded.



God Bless
jodie
2006-08-27 16:49:57 UTC
I am not familiar with what you are having done. I was able to avoid any chemo by doing surgery and

mammosite.com. Please check out all of the options. Good luck you are in my prayers.
DesignR
2006-08-27 14:19:59 UTC
I am sorry and will pray for a full recovery. Best of luck!
2006-08-28 08:18:03 UTC
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