A small cut will be made in your skin and underlying breast tissue until the lump or mass is exposed. How long it takes to recover will depend on the type of biopsy you had and the type of anesthesia used. If you had general anesthesia, you will be taken to the recovery room, where you will be watched closely.
Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room. Or you will go home.
If the biopsy was done on an outpatient basis, you should plan to have another person drive you home. If you had local anesthesia, you will be able to go home after you have completed the recovery period. Keep the biopsy area clean and dry. If stitches were used, they will be removed during a follow-up office visit. If there are no stitches, you may remove the bandage or dressing when instructed to do so, and bathe as normal.
The biopsy site may be sore for several days after surgery. Take a pain reliever as recommended by your doctor. Aspirin or certain other pain medicines may increase your chance of bleeding. Be sure to take only recommended medicines. Wearing a supportive bra may help with mild pain. You may go back to your normal diet unless your doctor advises you differently.
You may be told to avoid strenuous physical activity for a few days. Breast imaging experts explain breast imaging and the difference between screening and diagnostic mammograms.
Health Home Treatments, Tests and Therapies. Why might I need a breast biopsy? Breast biopsies may be done: To check a lump or mass that can be felt is palpable in the breast To check a problem seen on a mammogram, such as small calcium deposits in breast tissue microcalcifications or a fluid-filled mass cyst To evaluate nipple problems, such as a bloody discharge from the nipple To find out if a breast lump or mass is cancer malignant or not cancer benign A lump or other area of concern in the breast may be caused by cancer.
There may be other reasons for your doctor to recommend a breast biopsy. Types of breast biopsies There are several types of breast biopsy procedures. Types of breast biopsies include: Fine needle aspiration FNA biopsy. These include: Stereotactic biopsy.
What are the risks of a breast biopsy? All procedures have some risk. Some possible complications of a breast biopsy include: Bruising and mild pain at the biopsy site Prolonged bleeding from the biopsy site Infection near the biopsy site If the biopsy is done using an X-ray, the amount of radiation used is small.
How do I get ready for a breast biopsy? Your provider will explain the procedure to you. Ask any questions you have about the procedure. Tell your provider if you are pregnant or think you may be pregnant.
Your healthcare provider may have other instructions for you based on your medical condition. What happens during a breast biopsy? If the pathology report states that only healthy tissue or benign breast changes were detected, your doctor will need to see if the radiologist and pathologist agree on the findings. Sometimes the opinions of these two experts differ. For instance, the radiologist may find that your mammogram results suggest a more suspicious lesion such as breast cancer or a precancerous lesion, but your pathology report reveals only healthy breast tissue.
In this situation, you may need more surgery to obtain more tissue to further evaluate the area. If the pathology report says that breast cancer is present, it will include information about the cancer itself, such as what type of breast cancer you have and additional information, such as whether the cancer is hormone receptor positive or negative.
You and your doctor can then develop a treatment plan that best suits your needs. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Core needle biopsy Open pop-up dialog box Close. Core needle biopsy A core needle biopsy uses a long, hollow tube to obtain a sample of tissue. The latest on newly diagnosed breast cancer Up-to-date information on recurrent breast cancer Specialized treatment information for high risk breast cancer Error Select a topic.
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Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry. Request an Appointment at Mayo Clinic. Stereotactic breast biopsy Open pop-up dialog box Close. Stereotactic breast biopsy During a stereotactic breast biopsy, your breast will be firmly compressed between two plates.
Share on: Facebook Twitter. Show references Bland KI, et al. Indications and techniques for biopsy. Elsevier; Accessed March 22, Breast cancer early detection and diagnosis.
American Cancer Society. Accessed May 11, Cameron AM, et al. A surgeon's practical guide to breast imaging. In: Current Surgical Therapy. Ultrasound-guided breast biopsy. Magnetic resonance MRI -guided breast biopsy. Fowler GC, et al. Then an instrument called a transducer is placed on your breast and slowly moved back and forth to locate the area to be biopsied.
Once the area is identified, the radiologist will cleanse it and inject a local anesthetic. When the area is completely numb, a small incision will be made. To ensure an adequate sample is obtained, several cores of tissue will be taken and sent to the laboratory for review by a pathologist. A tissue marker will then be placed. During the procedure, you will be told what is occurring and cared for by a nurse whose goal is to make you as comfortable as possible.
You may notice some bruising of the area, which should resolve within 5 to 7 days. If you notice any excessive swelling, bleeding, drainage, redness or heat, please call your physician. Ultrasound imaging uses the same principles as the sonar that bats, ships, and fishermen use. When a sound wave strikes an object, it bounces back or echoes. By measuring these echo waves, it is possible to determine how far away the object is as well as its size, shape, and consistency.
This includes whether the object is solid or filled with fluid. Doctors use ultrasound to detect changes in the appearance of organs, tissues, and vessels and to detect abnormal masses, such as tumors. In an ultrasound exam, a transducer both sends the sound waves and records the echoing returning waves.
When the transducer is pressed against the skin, it sends small pulses of inaudible, high-frequency sound waves into the body. As the sound waves bounce off internal organs, fluids and tissues, the sensitive receiver in the transducer records tiny changes in the sound's pitch and direction. A computer instantly measures these signature waves and displays them as real-time pictures on a monitor.
The technologist typically captures one or more frames of the moving pictures as still images. They may also save short video loops of the images. Using an ultrasound probe to visualize the location of the breast mass, distortion or abnormal tissue change, the radiologist inserts a biopsy needle through the skin, advances it into the targeted finding and removes tissue samples.
If a surgical biopsy is being performed, ultrasound may be used to guide a wire directly into the targeted finding to help the surgeon locate the area for excision. With continuous ultrasound imaging, the physician is able to view the biopsy needle or wire as it advances to the location of the lesion in real-time.
Image-guided, minimally invasive procedures such as ultrasound-guided breast biopsy are most often performed by a specially trained radiologist. The doctor will inject a local anesthetic into the skin and more deeply into the breast to numb it. Pressing the transducer to the breast, the sonographer or radiologist will locate the lesion. The doctor will make a very small nick in the skin at the site where they will insert the biopsy needle.
The radiologist, monitoring the lesion site with the ultrasound probe, will insert the needle and advance it directly into the mass. If a surgical biopsy is to be performed, the doctor will insert a wire into the suspicious area as a guide for the surgeon.
The doctor may place a small marker at the biopsy site so they can locate it in the future if necessary. Once the biopsy is complete, the doctor or nurse will apply pressure to stop any bleeding. They will cover the opening in the skin with a dressing. No sutures are needed. The doctor may use mammography to confirm that the marker is in the proper position.
You will be awake during your biopsy and should have little discomfort. Many women report little pain and no scarring on the breast.
However, certain patients, including those with dense breast tissue or abnormalities near the chest wall or behind the nipple, may be more sensitive during the procedure. When you receive the local anesthetic to numb the skin, you will feel a pin prick from the needle followed by a mild stinging sensation from the local anesthetic.
You will likely feel some pressure when the doctor inserts the biopsy needle and during tissue sampling. This is normal. As tissue samples are taken, you may hear clicks or buzzing sounds from the sampling instrument. These are normal. If you experience swelling and bruising following your biopsy, your doctor may tell you to take an over-the-counter pain reliever and to use a cold pack. Temporary bruising is normal. Call your doctor if you experience excessive swelling, bleeding, drainage, redness, or heat in the breast.
If a marker is left inside the breast to mark the location of the biopsied lesion, it will cause no pain, disfigurement, or harm. Biopsy markers are MRI compatible and will not cause metal detectors to alarm.
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