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Tomosynthesis in dense breasts

3D mammography, also known as Tomosynthesis, is better at detecting masses in dense breasts than traditional 2D mammography.

Having dense breasts makes detection of cancer on mammography more difficult. Dense tissue appears white on the image, which can obscure cancerous tumours.

Breast density, the four levels:

Level A: Predominantly fatty breasts

 

Indicates that the breasts are almost entirely composed of fatty tissue. Approximately 1 in every 10 women will have this result.

Level B: Scattered areas of fibroglandular density

 

Indicates that there are some scattered areas of density, but that most breast tissue is not dense. Approximately 4 in every 10 women will have this result.

Level C: Heterogeneously dense breasts

 

Indicates that there are some areas of non-dense tissue, but that the majority of breast tissue is dense. Approximately 4 in every 10 women have this result.

Level D: extremely dense breasts

 

Indicates that almost all breast tissue is dense. Approximately 1 in every 10 women will have this result.

What are the screening recommendations for women with dense breasts?

We know that 3D mammography, also known as Tomosynthesis, is better than traditional 2D mammography at detecting masses in dense breasts. Tomosynthesis (3D mammography) consists of taking tomographic slices of the breast at the same time as performing normal mammography, scanning very thin 1 mm slices and avoiding superimposition of tissue, which is especially useful in dense breasts.

What are some of the other tests used for detection and also available at HC Marbella?

We offer 2D and 3D mammography, breast ultrasound and breast MRI.

For those women who require a breast biopsy, we perform the following procedures:

• Ultrasound-guided biopsy: CNB (core needle biopsy)
• Stereotactic biopsy: CNB (core needle biopsy) and VAB (vacuum assisted biopsy)
• MRI-guided biopsy
• FNA (fine needle aspiration)

Sources: MSKCC /Mayo Clinic /Radiology. Org

July 17, 2019