0:01

Um case number eight is a 45 year

0:04

old. So mistake is patient is here

0:07

for stereotactic biopsy of these calcifications. So

0:11

the specimen radiograph. I don't know how well

0:14

you can see it on the specimen radiograph while performing the

0:17

stereotactic biopsy is shown which actually

0:20

does not show any calcifications. So the

0:23

question is, what is the best next step to

0:26

do?

0:29

Okay, I'm great. So.

0:33

Majority voted for C, which

0:36

is actually the correct answer you want to obtain more

0:39

samples. So what you hear is like you definitely

0:42

see a group of geomorphic calcifications, right?

0:45

And we see on the on the specimen

0:48

radiograph. There are no calcifications noted

0:51

and if you look at it, these are like about five

0:54

or six tiny samples. So if this occurs we

0:58

need to do additional samples,

1:01

While the patient is still on the stereotactic table,

1:04

either you can retarget the calcifications or

1:07

you use a directional capabilities of

1:10

the vacuum assisted needle what I mean

1:13

is like if the back if the calcifications are

1:16

on the inferior part of the inferior part

1:20

of the needle, you can actually move your

1:24

chamber towards the inferior part and

1:27

and suck those calcifications.

1:31

Suck that suck those calcification that way again after

1:34

you do that

1:37

you need to do an additional specimen radiograph to

1:40

make sure that the calcium is within the specimen.

1:44

what happens is that if you don't have representative calcification,

1:47

then the possibility of a false negative

1:50

biopsy increases significantly, so therefore

1:53

you don't want to put

1:56

A clip at that

1:59

at this point and you want to get more cores at

2:03

the instead. The follow-up diagnostic

2:06

mammogram in six months is not appropriate in

2:09

case of insufficient biopsy and surgical

2:12

Council does not recommended when

2:15

there is a high probability of success if

2:18

we do more sampling