Clinical practice guidelines for visualized percutaneous breast tissue clips: Chinese Society of Breast Surgery (CSBrS) practice guideline 2021

Clinical issues for positioning tissue clip Clinical issues for positioning tissue clip Level of evidence Strength of recommendation 3.1 Number of clips placed 3.1.1 One placed in the center of primary breast lesion[10,11] II A 3.1.2 One placed in the center of metastatic axillary LN[8,9] I A 3.2 Im...

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Bibliographic Details
Published in:Chinese medical journal 2021-06, Vol.134 (15), p.1768-1770
Main Authors: Chen, Wu-Zhen, Jiang, Jing-Xin, Sun, Shan-Shan, Yu, Xiu-Yan, Huang, Jian
Format: Article
Language:English
Subjects:
Biopsy
Breast - surgery
Breast cancer
Breast Neoplasms - surgery
Cancer therapies
Chemotherapy
China
Clinical medicine
Clinical practice guidelines
Consensus Statements
Contraindications
Female
Humans
Localization
Lumpectomy
Lymphatic system
Mammography
Mastectomy
Metastasis
Surgery
Surgical Instruments
Ultrasonic imaging
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Summary:Clinical issues for positioning tissue clip Clinical issues for positioning tissue clip Level of evidence Strength of recommendation 3.1 Number of clips placed 3.1.1 One placed in the center of primary breast lesion[10,11] II A 3.1.2 One placed in the center of metastatic axillary LN[8,9] I A 3.2 Imaging-guided approaches for clip placement 3.2.1 Ultrasound-guided placement[11–13] I A 3.2.2 X-ray-guided placement[12] I A 3.3 Preoperative clip localization methods 3.3.1 Guide wire[9,14] I A 3.3.2 Dye[15] I A 3.3.3 Isotopic tracer[12] I A 3.4 Intraoperative clip confirmation 3.4.1 Intraoperative radiography[15] I A 3.5 Timing of clip placement in neoadjuvant therapy 3.5.1 Before neoadjuvant therapy following pathological confirmation of primary breast cancer lesion[6] I A 3.5.2 Before neoadjuvant therapy following pathological confirmation of metastatic axillary LN[8,9] I A LN: Accurate localization of nonpalpable breast cancer is a prerequisite for breast-conserving surgery, whereas clip placement and localization could increase negative margin rate to 90%,[11] and reduce the secondary resection. 2.Ye, JMGuo, BLLiu, QMa, FLiu, HJWu, Q. Clinical Practice Guidelines for sentinel lymph node biopsy in patients with early-stage Breast Cancer: Chinese Society of Breast Surgery (CSBrS) Practice Guidelines 2021. Identification and resection of the clipped node decreases the false negative rate of sentinel lymph node surgery in patients presenting with node positive breast cancer (T0-T4, N1-2) who receive neoadjuvant chemotherapy–results from ACOSOG Z1071 (Alliance).
ISSN:0366-6999
2542-5641
DOI:10.1097/CM9.0000000000001585