Case 5 Answer 3

Yes. Anytime you think you may remove the entire lesion with a needle biopsy, it is wise to leave a marker clip behind in the biopsy site. You may need to localize the site in the future if the biopsy result is malignant (ie. DCIS) or premalignant (ie. ADH).

Documenting the clip placement with post-procedure CC and Lat views is also important. If the clip is not exactly in the biopsy site, it is important to measure how far away it is from the cavity. This is critical if the patient ends up requiring a wire localization.

Pathology for this case was "Fibrocystic change associated with calcifications in benign ducts."

Now what is your recommendation?

• Normal interval follow-up in 12 months
• Short interval follow-up in 6 months
• Excisional biopsy