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A biópsia vacuoassistida (mamotomia) consiste em introduzir uma agulha de maior calibre na mama, acoplada a um sistema que corta e aspira o tecido a ser biopsiado. Essa técnica permite a coleta de diversas amostras sem a necessidade de reinserção da agulha, além  de obter maior amostragem tecidual em relação a outras formas de biópsia percutânea. Sua melhor indicação está no diagnóstico de microcalcificações mamárias suspeitas.