Fig. 1: Patient example, repeated recall after previous false-negative recall. | British Journal of Cancer

Fig. 1: Patient example, repeated recall after previous false-negative recall.

From: Delayed breast cancer diagnosis after repeated recall at biennial screening mammography: an observational follow-up study from the Netherlands

Fig. 1

Two-view screening mammograms (a and c, medio-lateral oblique (MLO) view, and b and d, cranio-caudal (CC) view) of the left breast in 2014 (a and b) and in 2016 (c and d). In 2014, it shows a lesion in the medial upper quadrant of the breast (arrows), initially classified as BI-RADS 0 (additional analysis needed) by the screening radiologist. At recall (2014), additional digital breast tomosynthesis (DBT) and ultrasound were performed, and the lesion was classified as BI-RADS 2 (benign lesion). No biopsy was performed. Two years later (2016), the patient was recalled for the same lesion now classified as BI-RADS 5 (due to spiculae). Ultrasound-guided true-cut biopsy was performed, which revealed an invasive lobular carcinoma without axillary metastases. The patient was treated with breast conserving surgery and adjuvant radiotherapy.

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