procedure uses a number of computerized mammogram images
to identify a breast abnormality in 3-dimensions.
this procedure, you will lie on your stomach on a specially
made table. Your breast will be positioned through an opening
in the table. The breast will be compressed moderately,
similar to the compression occurring during a mammogram.
A few mammographic images will be taken in order to properly
position the probe which will remove the tissue.
When this is complete, the technologist will cleanse the
area for biopsy. The radiologist then numbs the area with
a local anesthetic. The probe will then be inserted into
the breast, near the area of concern. The radiologist will
rotate the probe slightly, gathering small cores of tissue.
You will feel pressure around your breasts but no pain.
Only a small nick in the skin will be left by the probe.
it is necessary for the radiologist to retrieve some breast
tissue that contains microcalcifications. Once the tissue
is removed, this specimen is sent to be x-rayed. This xray
film will confirm for the Pathology Department/Laboratory
that the specimen contains the microcalcifications. After
the retrieval of the tissue is complete, a tiny marker will
be placed at the exact site from where the tissue was taken.
This marker is left in should cancer be found, so that the
surgeon will know exactly where to look to remove any remaining
malignant tissue. If the abnormality is benign, as is the
case in 70-80% of those examined, the marker will serve
to show on future mammograms where the biopsy was done.
The marker used cannot be felt and it will not set off any
actual procedure takes about 10 to 15 minutes, although
about an hour will be needed to allow for preparation time
and instructions afterward. The procedure is about 97% to
99% accurate. There are no permanent scars left by the probe
and no possibility of disfigurement.
the biopsy is complete, steri-strips will be placed over
the probe entry site. These will need to remain in place
for about two days. During these two days, bathing is permitted
as normal. A pressure dressing will be placed over the steri-strips
followed by a snug support bra over the entire dressing.
This must be kept on for 8 to 12 hours. All strenuous activities
with the arms are restricted for 24 hours after the procedure
to ensure proper healing. Most woman feel only minor discomfort
in the days immediately following the biopsy, and most will
have some bruising around the breast. This bruising and
any marks left on the breast should be completely resolved
in a few weeks.
will be given post-biopsy instructions to take home as well
as a contact number in case of emergency.
will receive the pathology (lab) results and send a report
to the physician who ordered your biopsy. This physician
will review the results with you and decide on any additional
Excisional Biopsy with Needle Localization:
will perform a needle localization with ultrasound or mammography
guidance prior to surgery. A wire marker is placed inside
the breast to guide the surgeon to the area of concern.
This enables the surgeon to remove the least amount of tissue
possible in order for a definitive diagnosis to be made.
this procedure, a mammogram or breast ultrasound must be
done before the localization wire can be inserted. Once
the area of concern is located in the breast, the skin will
be cleansed and numbed with a local anesthestic. The wire
is then carefully inserted using the guidance of the mammography
or ultrasound. Once the wire is in place, its position will
be verified one more time by mammography. The wire is then
left in place until the surgery. A soft dressing will be
put over the wire and you will be transported to the operating
this procedure, the surgery will be performed. Surgery will,
in itself, require stitches and post-operative care.
needle aspiration is a procedure which can be done in a
physician's office, but it is performed more often by a
radiologist in a medical imaging center. A fine needle aspiration
is employed only when the abnormality is a palpable lump
in the breast. This procedure calls for a very fine needle
to be inserted into the abnormality to aspirate, or withdraw,
some tissue cells.
cells retrieved may help towards determining the diagnosis.