Scout In, Scout out: Savi scout reflector traversing a dilated duct to the nipple in breast cancer localisation-a case report.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2025-03-20 eCollection Date: 2025-03-01 DOI:10.1093/omcr/omae196

Aman Saswat Sahoo, Monther Salman, Bhuvi Singh, Gina Weston-Petrides, Lilia Ragad, Rasheed Elayyan

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引用次数: 0

Abstract

Introduction: Savi scout system is being widely used for localising and excising breast tumours. While the migration of scout reflectors has been documented, this is the first case of a Savi Scout reflector migrating through a dilated duct near the lesion and coming out of the nipple.

Case presentation: A 56-year-old postmenopausal woman with a history of right breast intraductal papilloma which transformed to Grade II Invasive Ductal Carcinoma (IDC) has a Savi Scout reflector placed in the tumour. However, it migrated through a dilated duct and emerged at the nipple, causing severe pain. The reflector was then surgically removed, and the patient subsequently underwent wide local excision with skin marker localisation.

Conclusion: Anatomical variations such as presence of dilated ducts need to be considered before placing scout reflectors. Appropriate positioning would prevent them from migrating through such ducts avoiding patient discomfort and further procedures for localisation.

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检查进出：萨维检查反射器穿过扩张性导管到达乳腺癌定位的乳头——一个病例报告。

简介：Savi星探系统被广泛应用于乳腺肿瘤的定位和切除。虽然童军反射器的迁移已有文献记载，但这是第一例萨维童军反射器通过病变附近的扩张导管迁移并从乳头流出。病例介绍：56岁绝经后妇女，右乳导管内乳头状瘤转变为II级浸润性导管癌（IDC），在肿瘤内放置了Savi Scout反射器。然而，它通过扩张的导管迁移到了乳头，引起了剧烈的疼痛。然后手术切除反射镜，患者随后进行广泛的局部切除，并进行皮肤标记定位。结论：解剖变异，如导管扩张的存在，在放置侦察反射器前需要考虑。适当的体位可以防止它们通过导管迁移，避免患者不适和进一步的定位手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.