A 64-year-old woman underwent vacuum-assisted excision (VAE) for a biopsy-proven radial scar in the right breast detected during screening mammography. A follow-up mammogram was performed at 1 year following multidisciplinary team discussion. This demonstrated a 1 cm mass adjacent to the biopsy clip at the site of the prior VAE. A repeat biopsy of the mass was performed which revealed benign scar tissue. This is the first reported case of post-VAE scar tissue mimicking breast carcinoma on mammography.
- radiology (diagnostics)
- breast cancer
- screening (oncology)
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Contributors MCM, Radiology Specialist Registrar: planning, data acquisition, drafting of manuscript, final approval. CMQ, Consultant Breast Histopathologist: data acquisition, expert input in area of pathology, critical revision of manuscript, final approval. RSP, Consultant Breast Surgeon: expert input in area of breast surgery, critical edits to manuscript, final approval. SP, Consultant Breast Radiologist: data acquisition, drafting of manuscript, expert input in area of breast radiology, final approval. SM, Consultant Breast Radiologist: planning breast radiology, critical revision of manuscript, final approval.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Patient consent for publication Obtained.
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