{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:57:33Z","timestamp":1793055453992,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T00:00:00Z","timestamp":1502668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T00:00:00Z","timestamp":1502668800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"name":"Samsung Biomedical Research Institute (SBRI) grant.","award":["Samsung Biomedical Research Institute (SBRI) grant"],"award-info":[{"award-number":["Samsung Biomedical Research Institute (SBRI) grant"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to determine the feasibility of image\u2010guided marker\u2010clip placement in axillary lymph nodes (ALNs) for breast cancer upon initial presentation and to assess the reliability of this method with sentinel lymph node biopsy (SLNB) for axillary restaging after neoadjuvant chemotherapy (NAC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between June 2015 and August 2016, a marker clip was placed at a clinically positive ALN under ultrasonography (US) guidance before initiation of NAC in 20 patients. Preoperative localization of marker\u2010clipped LNs was performed, and the localized LNs were removed by SLNB. We compared the postoperative results of the marker\u2010clipped LNs, SLNs and ALNs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Image\u2010guided marker\u2010clip placements and localization of marker\u2010clipped LNs were performed successfully in 20 patients. A total of 24\u00a0marker clips were inserted, and 23\u00a0marker\u2010clipped LNs were successfully retrieved during surgery (identification rate, 23\/24, 95.8%). In the 11 patients with pathologically confirmed metastatic marker\u2010clipped LNs, four became negative after NAC, and seven maintained metastatic residues on the marker\u2010clipped LNs. Three of the seven patients had metastatic residues on the ALNs, and two of the three patients also had negative SLNs. Marker\u2010clipped nodes accurately predicted the axillary nodal status in these two patients compared with SLNs alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Image\u2010guided marker\u2010clip placement on positive ALNs before NAC and removal with SLNB is technically feasible. This technique can improve the accuracy of the residual disease evaluation on the axilla, especially in patients with negative SLNB results, and can identify candidates for limited axillary surgery after NAC.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4171-8","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T17:10:02Z","timestamp":1502730602000},"page":"582-589","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Feasibility of Preoperative Axillary Lymph Node Marking with a Clip in Breast Cancer Patients Before Neoadjuvant Chemotherapy: A Preliminary Study"],"prefix":"10.1002","volume":"42","author":[{"given":"Eun Young","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine 29 Saemunan\u2010ro 03181 Jongno\u2010Gu Seoul Republic of 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Lai","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine 29 Saemunan\u2010ro 03181 Jongno\u2010Gu Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan Heun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Surgery Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine 29 Saemunan\u2010ro 03181 Jongno\u2010Gu Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Young","family":"Youn","sequence":"additional","affiliation":[{"name":"Department of Radiology Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine 29 Saemunan\u2010ro 03181 Jongno\u2010Gu Seoul Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seon Hyeong","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology Kangbuk Samsung 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