Left the biopsy clip in after surgery

Options
Melindawv
Melindawv Member Posts: 19

I had stage 2 breast cancer and had adjunctive chemo and then surgery in February. Everything came back great and started radiation beginning of April. Recently the radiologist who placed the clip in called and wanted a mammogram because during surgery they did could not find the clip nor could the pathologist. So long story short....Took mammogram and I still have the clip!!! So Dr. is wanting to go back in and remove the clip plus margins around to make sure everything is clear. And the oncologist radiologist wants me to finish all my radiation and heal before we do surgery again.

My question is..Has anyone had this happen to them or heard of it happening, where they left the clip?

Thanks,

Melinda

Comments

  • candles1
    candles1 Member Posts: 77
    edited April 2017

    Melindawv, are you saying that the biopsy clip, which should have guided your lumpectomy surgeon to the area of your tumor, was missed during surgery and is still there?

    So, your lumpectomy did not remove tissue from the area of the biopsy, as it should have. If it had, the surgeon would have removed the "biopsy" clip (and enough surrounding tissues to get acceptable margins), and left behind a new "lumpectomy" clip.

    How do they know that the clip they now found isn't from the lumpectomy?
  • Melindawv
    Melindawv Member Posts: 19
    edited May 2017

    Finished with Radiation and now waiting till my skin heals and then we are going back in after the clip. They said the clipped moved and they went in several times to find it while I had my first surgery. Said they removed the correct area, because I had the wire needle placed, but that the clip feel into a cavity and they couldn't find it. Not happy at all!! and the Dr is telling me that I will know when my skin is healed enough for surgery. I am peeling and a little red but how long do I wait, I have no idea.


  • Meow13
    Meow13 Member Posts: 4,859
    edited May 2017

    Melinda, they left the clip in me, no one mentioned getting it out.

  • whattodo123
    whattodo123 Member Posts: 4
    edited June 2017

    I am in the similar situation, and I don't know what to do with the clip left behind. I am very unhappy with it. I was told by the radiologist the clip would be removed during surgery. But during the lumpectomy the surgeon couldn't find the clip from the tissue removed. I had a radioactive seed localization and thank god the radioactive seed was found and removed. I am left with to have a follow up mammogram to find out if the titanium clip has gone to other places or if not where it is in my breast! I have the feeling this is a ball being kicked back and forth from surgeon and radiologist by using our breasts as the play field, where nobody go after to clean up the site to remove those clips/seeds afterwards.

    Has anyone had lumpectomy surgery without the titanium clip left in your body? Any long term side effects? Is self breast exam with these clips left in there still doable?

  • Meow13
    Meow13 Member Posts: 4,859
    edited June 2017

    I don't have side effects. I can see the clip clear as day on the mammogram image. I have surgical stainless steel screws in my jaw I was told they will outlast me. Might be the same with the clip.

  • SSBNewbie
    SSBNewbie Member Posts: 17
    edited June 2017

    I had a similar situation with my recent bilateral mastectomy. I had bilateral cancer with an IDC tumor on the left and ILC on the right. There was one biopsy marker clip on the right and 2 on the left.

    During surgery, one of the clips wasn't removed. I didn't find out until 2 weeks after my surgery at my post op appointment. I had to have a second surgery to remove the clip. The clip had cancer cells around it, so 1 cm margins were removed around it. The surgeon said that there is a chance that the second surgery coukd cause blood flow problems with my flap and require ANOTHER additional surgery with my flap.

  • Meow13
    Meow13 Member Posts: 4,859
    edited June 2017

    My biopsy was negative. Do I need to have the clip removed? I mean the radiologist saw the clip after biopsy when i had my mammogram.

  • SSBNewbie
    SSBNewbie Member Posts: 17
    edited June 2017

    In my case, they were adamant that the clip needed to be removed because it had gone "through" the tumor. If it would have been left in place, I was going to have to have radiation on that side (even before they knew that there were stray cancer cells around it).

    I do have to have radiation on the right still because on that side there was some invasion of the pectoral muscle.

    I'm being treated at an NCI affiliated teaching hospital

  • Meow13
    Meow13 Member Posts: 4,859
    edited June 2017

    I just I should ask, I just assumed that they would tell mr if they needed to remove it.

  • SSBNewbie
    SSBNewbie Member Posts: 17
    edited June 2017

    My Drs. told me that it had to be removed. They weren't willing to do a biopsy to determine if there were suspicious cells around it or I might have gone that route, actually.

    I was not happy about having a second surgery, which was equivalent to a lumpectomy, three weeks after bilateral mastectomy. In retrospect, I'm glad that the clip is out and that they took a decent margin all the way around the clip so that I know that there are no cancer cells lurking.


  • Maomaonie
    Maomaonie Member Posts: 11
    edited August 2017

    I am in the similar situation. Two biopsy clips and 2 radioactive seeds before lumpectomy. Just today the X-ray report says one of the biopsy clips was not found in the removed tissue, although the radioactive seeds were found. An earlier pathology report said the same. I will have a follow up visit with my surgeon the end of this week. Radiation therapy not start yet. I would like it be removed, will see what the Dr. wants to do.

  • Mistj1
    Mistj1 Member Posts: 2
    edited November 2017

    I also had a lumpectomy which was to take 45 minutes. Surgeon told me she couldn't find the clip and spent extra time (2 hrs total) searching for clip. She took numerous sample but no clip. 3 weeks out and my (horrible) looking incision has an inflamed area and i have to go back after first of the year for another mamo to locate it. So far Atypical papaloma. Ultra sound didnt locate it during wire placement.

  • Rachaelfrank
    Rachaelfrank Member Posts: 2
    edited November 2017

    I was told they was going to leave mine in forever so they could always watch it

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited November 2017

    Rachael, they leave them in after core biopsies. If it turns out, based on core biopsy results, that the area needs to be excised, the marker is used to locate the area and is usually removed with the breast tissue

  • Lorrainenj
    Lorrainenj Member Posts: 39
    edited January 2018

    I just got a call from my surgeon’s office. They can’t account for a biopsy clip. Mammogram Friday. Hope no more surgery.

  • Lorrainenj
    Lorrainenj Member Posts: 39
    edited January 2018

    this is happening to me now. Got a call today one biopsy clip not accounted for in pathology. How did your story end? All ok

  • DarciMarie
    DarciMarie Member Posts: 1
    edited October 2018

    I too just found out that the biopsy clip remains after my lumpectomy. I only found this out after my first follow up mammogram 8 months after completing radiation therapy, and one year after lumpectomy. The plan now is to do an MRI, to see where the marker is in comparison to the previous location. Then another lumpectomy to remove more tissue and the marker.

  • Beaverntx
    Beaverntx Member Posts: 3,183
    edited October 2018

    I have two biopsy clips on my non operated breast due to a false positive mammogram reading many years ago. Can't feel them at all.

    My BS reported that my surgery was prolonged because the biopsy clip was not in the path specimens and they finally found it clinging to the side of the auction bucket! She said they move a little slower now to be certain they know where the clp(s) are. Fortunately for me I was not aware of the consternation at the time. The clips are typically very small and I can understand how they could be hard to find. So sorry to learn that several of you have needed a second surgery to be certain the tumor cells were removed. Wishing successful healing for all.

  • Narnia1
    Narnia1 Member Posts: 2
    edited October 2018

    My MRI showed clips around my Diep tummy tuck incision. Nobody said I should do anything about them. And I haven’t . Should I? My surgery was in 2009

Categories