Abstract
Isolated architectural distortion (AD) detected on mammography is a suspicious abnormality in patients with no prior history of surgery or trauma and mandates tissue sampling. When AD is detected on routine screening and only on tomosynthesis, stereotactic/tomosynthesis guidance is needed for performing biopsy, as often there is no correlate identifiable on ultrasound. This facility is not widely available, especially in developing countries, leading to referral, delay in the diagnosis, and loss of patients to follow-up. Through this case series, we highlight the simple tips and tricks to identify the ultrasound correlate to confirm them prior to biopsy so that the correlate is accurate, thus avoiding false negative histopathology. In this series, two cases had benign results, three had a focus of ductal carcinoma in situ, and one was invasive ductal carcinoma, and the histopathological results were concordant in all these cases.
Published Version
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