What question did this study set out to answer?

To evaluate the effectiveness of vacuum-assisted excision for B3 breast lesions in reducing overtreatment without compromising safety.

March 26, 2026European Journal of Breast Health0 citationsOpen Access

Tomosynthesis-Guided Vacuum-Assisted Excision of B3 Breast Lesions: Reducing Overtreatment Without Compromising Safety

PZP. Valković ZujićUniversity Hospital Centre Zagreb NBNina BartolovićUniversity Hospital Centre Zagreb JRJelena RnjakUniversity of Rijeka

Key Points

To evaluate the effectiveness of vacuum-assisted excision for B3 breast lesions in reducing overtreatment without compromising safety.
Analyzed data on B3 breast lesions treated with vacuum-assisted excision.
Focused on lesions without atypia and with imaging-pathology concordance.
Included a multidisciplinary evaluation process.
Vacuum-assisted excision was found to be a safe and effective alternative to surgical excision.
Led to a significant reduction in unnecessary treatments for carefully selected B3 lesions.
Maintained safety standards while minimizing invasive procedures.

Abstract

VAE is a safe, minimally invasive and effective alternative to SE for carefully selected B3 lesions, particularly those without atypia and with imaging-pathology concordance, potentially reducing overtreatment. Multidisciplinary evaluation remains essential.

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