0:00

All right last case.

0:04

A on 80 year old had a

0:07

biopsy proven cancer at the outside Hospital.

0:11

And and went to Long Factory.

0:15

But there is no cancer filet in

0:18

this long pectomy Spaceman.

0:22

So she come over to also for

0:25

significant.

0:29

This is the other side of screening mammograms.

0:32

What's your assessment It Started from the

0:35

beginning?

0:40

Most of them found deletion and agree with

0:43

the barrels 0 to call the

0:46

patient back straight.

0:50

Here is this MS?

0:52

Education's press this is the blood respect of

0:55

this press over here.

1:01

And outside the ultrasanna was a performed and

1:04

they found a leashing and full clock.

1:08

Is deletion over here?

1:11

was based on this mammograms vital

1:14

compression View and the ultrasound imaging

1:19

we'll see you our assessment and recommendation.

1:28

about see

1:30

great.

1:37

Are we with you? This should be Paris for because

1:40

this is irregular Mass. Almost remember

1:43

in the ultrasound and it is

1:46

lateral aspect or with exam

1:49

right breast. So it's a full clock based

1:52

on the morphology in the location be thinking

1:55

the correlate the ways. This is a memographic foundings and

1:58

the patient should we get out what you sound like?

2:07

but

2:09

at the outside facility the surgeon perform

2:12

a year tiger develop C.

2:15

And here's the posted biopsy

2:18

and my grandma over here.

2:21

And there was whatever you do.

2:27

Listen look at the Imaging and also together.

2:32

For this one we need

2:35

to repeat that or just on the guided biopsy because the other

2:38

side of surgeon the absolutely wrong

2:41

spot.

2:42

Remember that is a full clock and also is

2:45

a lot of respect over the love of the breast. What is

2:48

about CP that could even aspect of left

2:51

breast. So it's about see the

2:54

wrong spot over here.

3:03

So be repeatedly biopsy. Oh, they

3:06

repeat actually, they realize that and then they repeated the

3:09

biopsy and the Autosound which

3:12

you can order to be invasive a doctoral carcinoma.

3:15

They also place a clip over here into the

3:18

club over here. This is repeated biopsy. This is

3:21

the initial biopsy and demographic.

3:28

and then they decide you use

3:31

a needle causation for

3:35

Ohectomy. That's how the Deep

3:38

the needle localization.

3:41

In the hope at this point you found

3:44

was going wrong.

3:47

Right instead of a local

3:50

exist. Remember this is to be nine biopsy. This is

3:53

the number one guy will be my biopsy and this is the audition guide

3:56

you to positive about the

3:59

instead of a localizes the right Legion. They

4:02

localize the

4:04

wrong clip over here

4:08

So it's not a surprising they didn't

4:11

get a cancer from this area, right?

4:14

So what if you can learn from this unfortunate

4:17

case?

4:20

number one

4:21

why I don't know why it performed

4:24

the mammogram guided about see.

4:28

after their final curator on the ultrasound

4:32

and the the um, I'm guided biopsy

4:35

was a performed by the surgeon.

4:38

in my practice the

4:41

ABC breast biopsy or performed by

4:44

Radiologists so we can review The Imaging

4:47

and correlate. I don't know the

4:50

Surgeon can review the mammogram of

4:53

ultrasound but definitely in this case

4:56

is the biops is the wrong.

4:58

spot over here

4:59

right this the first mistake they

5:02

made and they're not the one they were

5:05

not a mistake is the places the

5:08

same clip and they didn't review The Imaging before the

5:11

localization and they look like it's the wrong

5:14

nine biopsy side.

5:17

And so they at least the two mistakes that has had

5:20

been made for this unfortunate case.

5:25

For our participant of

5:28

this elect of the sounds. I don't know where from but the

5:31

United States 75% of aggressive

5:34

whole biopsy or performed by

5:37

Radiologists only 25% by idea

5:40

breast surgeon as a breastfeed always. Yeah.

5:43

I think that the you don't

5:46

look Asian and biopsy should be

5:49

performed by I really do

5:52

because we are the one can really begin

5:55

and correlated.

6:01

All right, I think that's that's all.

6:05

Thank you very much here for your attention in

6:08

now. I can answer some questions if

6:11

you have.

6:13

Thank you.