46-year-old woman history of right breast excisional biopsy with pathology showing LCIS and atypical lobular hyperplasia presents with palpable abnormality in the right breast, subsequently biopsied with pathology showing invasive lobular carcinoma. Subsequent MRI identified additional lesion also biopsied revealing invasive lobular carcinoma. Patient is status post mastectomy 7/16/2015. Biopsy of the mastectomy specimen is requested to help identify a lock shaped clip placed in the right breast index mass. On review of the prior studies, there are three (3) biopsy clips identified in the right breast. A lock-shaped clip denotes the palpable right index right breast cancer which was biopsied under ultrasound guidance. An S shaped clip denotes the additional lesion identified on MRI. An X shaped clip denotes site of previous benign biopsy. Orthogonal digital specimen radiographs of the right breast specimen and fragments revealed the fibroglandular tissue and multiple surgical clips. No clip is seen within the specimen. Additional radiograph of 36 pathology slides demonstrates breast tissue with few calcifications. No clip is seen.
No lock clip seen in the right breast specimen, tissue fragments and pathology slides. 