Guidelines for surgical removal of calcifications?


Question from grantly: I had calcifications show up on a mammogram a year after my lumpectomy, and my surgeon went to remove them but didn't use needle-guided surgery. He removed the wrong tissue, so now I have to have ANOTHER surgery. Aren't there guidelines in place saying surgeons should always use a needle guide in order to take out calcifications found post-lumpectomy?
Answers - Kristin Brill, M.D., F.A.C.S. For abnormalities identified only by mammogram such as calcifications, this would require needle localization to help the surgeon target and remove the appropriate area. Sometimes when the calcifications form in a lumpectomy site, it's more apparent to the surgeon because it's just under the scar and in a palpable area, so in that case the surgeon would not use needle guidance. But typically this would require needle localization.

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