This information explains your breast seed localization procedure at Memorial Sloan Kettering Cancer Center (MSKCC).
Breast seed localization is a procedure in which a tiny metal seed, about the size of a small sesame seed, is placed into abnormal breast tissue. The implanted seed contains a small amount of radiation. This helps your surgeon find the area of abnormal tissue during surgery when it is too small to be seen or felt by hand. The seed will stay in your body until it is taken out during your surgery.
Your doctor will explain the procedure to you and will answer any questions you have.
Before Your Procedure
The Day of Your Procedure
- Do not put anything on your breasts, nipples, or under your arms on the day of the procedure. This includes talcum powder, deodorant, perfumes, and creams.
- Wear a two-piece outfit.
- Enter MSKCC at 425 East 67th Street. Take the A elevators to the 2nd floor. Check in at the Radiology reception desk. If you have any questions about the location or time of your procedure, call the Breast Imaging Department at (212) 639-6994.
- Family or friends who are with you while you are having the procedure will be taken to the waiting room.
- Tell the radiologist performing your procedure if you are allergic to any medications.
During Your Procedure
The procedure takes about 30 minutes. You will be awake, but the area will be numbed with medication, so it will not be painful. The procedure is done during a mammogram, while your breast is compressed. If the abnormal tissue is not seen on the mammogram, ultrasound may be used instead.
A picture of the abnormal tissue in the breast is taken. When the area is numb, a needle with the seed inside of it is inserted into the breast. Two more pictures of the breast are taken. If necessary, the position of the needle will be adjusted and more pictures will be taken.
When the needle is in the correct place, the seed will be released into the tissue and the needle will be removed. The seed will stay in your breast. Another set of pictures will be taken to show the location of the seed's position within the area to be biopsied. Later, your surgeon will use this picture as a map to guide your surgery.
After Your Procedure
The items you touch, people you encounter, and the clothes you wear will not become radioactive.
People who are in close physical contact with you may be exposed to very small amounts of radiation. While there is no evidence that this exposure causes harm, there are things you can do to minimize radiation exposure to others:
- Distance. The amount of radiation emitted from your body is very small. It decreases significantly at a distance of 1 foot from the implant site. There is almost no radiation reaching a distance of 3 feet away.
- Time. Radiation exposure to others depends on how long you remain in close contact with them. You will not harm anyone by hugging, kissing, or shaking hands. You should avoid placing an infant, child, or young animal on your chest for any longer than 30 minutes per day while the seed is still in place.
- Return. It is important that you return for your surgery because the seed will be removed at that time. When the seed is removed, that means all radioactive materials are removed. At that time, the low radiation levels return to zero.
If you have any questions, please contact the Radiation Safety Service in the Department of Medical Physics at (212) 639-7391.