Case 22 Answer 2

The stereotactic biopsy was performed using a superior approach with the CC view as a guide. The calcifications were closest to the superior skin. This minimizes the distance traversed by the needle from the skin to the target.

Other considerations when deciding the approach:

1. Is the finding seen much more easily on one of the views? Then the approach in that view may be necessary, even if the distance is farther.

2. Do anatomic conditions make only one approach possible?

3. Is a vessel overlying the finding in one of the views?

4. Does the patient have a strong preference for where the small potential scar might be located?

The biopsy yielded DCIS.  What is your recommendation now?