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Digital breast Tomosynthesis vacuum assisted biopsy for Tomosynthesis-detected Sonographically occult lesions

      Highlights

      • DBT VAB is fast, averaging 15 min, and accurate for targeting DBT-detected lesions.
      • DBT VAB yielded actionable pathologies in a majority of cases, requiring surgical attention.
      • DBT VAB should be performed if DBT lesions are not well seen on 2D mammography or US.

      Abstract

      Purpose

      To assess the utility and pathological results from DBT VAB for lesions occult on 2D mammography and breast ultrasound (US).

      Materials and methods

      A retrospective review of 1116 consecutive stereotactic biopsies was performed over 27 months. DBT VAB was performed for 38 non-calcified lesions which were solely detected using DBT. Imaging findings and pathology results were reviewed.

      Results

      Pathologic findings were malignant in 8 of 38 lesions [masses (5) and distortion (3)]. High-risk findings found in 14 lesions.

      Conclusion

      DBT VAB is easily performed and the majority of cases yield actionable pathologies. Therefore, perform DBT VAB primarily when available.

      Keywords

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