{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T17:20:04Z","timestamp":1783185604486,"version":"3.54.6"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T00:00:00Z","timestamp":1672704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In Australia, the usual approach to breast lesions where core biopsy returns an uncertain result (\u201cB3\u201d breast lesion) is to perform surgical diagnostic open biopsy (DOB). This is associated with patient time off work, costs of hospital admission, risks of general anaesthesia and surgical complications. The majority of B3 lesions return benign results following surgery. Vacuum assisted excision biopsy (VAEB) is a less invasive, lower cost alternative, and is standard of care for selected B3 lesions in the United Kingdom. Similar use of VAEB in Australia, could save many women unnecessary surgery. The aim of this study was to document our experience during the introduction of VAEB as an alternative to DOB for diagnosis of selected B3 lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The multidisciplinary team developed an agreed VAEB pathway for selected B3 lesions. Technically accessible papillary lesions, mucocele\u2010like lesions and radial scars without atypia measuring \u2264 15mm were selected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over a 7 month period, 18 women with 20 B3 lesions were offered VAEB. 16 women (18 lesions) chose VAEB over DOB. Papillomas were the commonest lesion type. All lesions were successfully sampled: 17\/18 were benign. One lesion (6%) was upgraded to malignancy (ductal carcinoma in\u00a0situ on VAEB, invasive ductal carcinoma at surgery). No major complications occurred. Patient satisfaction was high: 15\/16 respondents would again choose VAEB over surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>VAEB is a patient\u2010preferred, safe, well\u2010tolerated, lower\u2010cost alternative to DOB for definitive diagnosis of selected B3 breast lesions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.13502","type":"journal-article","created":{"date-parts":[[2023,1,4]],"date-time":"2023-01-04T04:02:38Z","timestamp":1672804958000},"page":"365-376","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Vacuum\u2010assisted excision biopsy for definitive diagnosis of breast lesions of uncertain malignant potential (<scp>B3<\/scp> lesions) on core biopsy \u2013 A single centre Western Australian experience"],"prefix":"10.1111","volume":"67","author":[{"given":"Jessica Frances","family":"Watson","sequence":"first","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Nepean Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9201-1713","authenticated-orcid":false,"given":"Rose","family":"Radic","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8294-6865","authenticated-orcid":false,"given":"Rosanna","family":"Frost","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Royal United Hospitals Bath, NHS Foundation Trust  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Paton","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith Anita","family":"Kessell","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin Frederik","family":"Dessauvagie","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"PathWest Laboratory Medicine WA Fiona Stanley Hospital  Perth Western Australia Australia"},{"name":"University of Western Australia Medical School  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1481-1141","authenticated-orcid":false,"given":"Donna Blanche","family":"Taylor","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology Royal Perth Hospital  Perth Western Australia Australia"},{"name":"University of Western Australia Medical School  Perth Western Australia Australia"},{"name":"BreastScreen WA  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.19.22082"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25801"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22435"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2010.12.003"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pathol.2015.11.015"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jclinpath-2015-203018"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2559.2008.03158.x"},{"key":"e_1_2_12_9_1","unstructured":"National breast screening pathology audit for the screening period April 2016 to March 2019.UK:Public Health England 2020. 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