How vacuum-assisted tomosynthesis-guided biopsy facilitates the diagnosis of breast changes

Abstract

Introduction. Breast cancer stands as the predominant form of cancer diagnosed in women worldwide. In the Republic of Serbia, breast cancer held the top position in 2020, accounting for 22.6% of all cancer cases. Early diagnosis of the disease can lead to favorable prognosis and high survival rates. National and opportunistic screening aim to conduct preventive mammography examinations in women aged 50-69, with vacuumassisted biopsy guided by tomosynthesis being performed when necessary as a diagnostic procedure. Material and Methods. The vacuum-assisted tomosynthesis guided breast procedure typically takes half as the time of a stereotaxic biopsy. The procedure begins with planning the approach to the lesion, contingent up on its localization within the breast. Results. The first vacuum-assisted biopsy guided by tomosynthesis in Serbia was conducted at the Radiology Center of the Clinical Center of Vojvodina in December 2020, utilizing Selenia Hologic mammography unit. Between December 2020 and June 2023, a total of 161 tomosynthesis-guided VABs were performed in 160 patients, with one patient undergoing the procedure on both breasts. Conclusion. Most authors report using the vacuum sampling technique during the vacuum-assisted biopsy guided by tomosynthesis. Given the potential of complete removal of the lesion with this method, it is standard practice to place a marker at the biopsy site. The increasing incidence of breast cancer is observed globally, and it is attributed to advancements in standards of living and lifestyle changes.