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Breast Needle Biopsy(Biopsy, Breast Needle; Breast Needle Aspiration; Aspiration, Breast Needle; Large Core Needle Biopsy; Biopsy, Large Core Needle)En Español (Spanish Version)Click here to view an animated version of this procedure. DefinitionBreast needle biopsy is the removal of a sample of breast tissue using a needle. The sample is examined in a lab. Reasons for ProcedureThis is done to examine a suspicious area in the breast. It may be done if any of the following are found:
The biopsy can identify the area as either benign (noncancerous) or malignant (cancerous). Possible ComplicationsComplications are rare, but no procedure is completely free of risk. If you are planning to have a needle breast biopsy, your doctor will review a list of possible complications, which may include:
Some factors that may increase the risk of complications include: Be sure to discuss these risks with your doctor before the procedure. What to ExpectPrior to ProcedureYour doctor may do the following:
Leading up to the biopsy:
AnesthesiaThis depends on the type of biopsy that you are having, for example:
Description of the ProcedureThere are different breast needle biopsy techniques that your doctor can use to remove the tissue sample: Needle AspirationThe skin over the area will be cleaned. The doctor may inject a local anesthetic. Next, the biopsy needle will be inserted into the breast tissue. Fluid and/or tissue will be removed. The needle may be removed and re-inserted several times. This will be done to get samples from different locations. After this is done, the doctor will apply pressure to the area and cover the spot with a bandage. Needle Aspiration  © 2009 Nucleus Medical Media, Inc. Stereotactic BiopsyLarge Core Needle Biopsy or Vacuum-assisted Device BiopsyYou will be given sedation. You will also be given either general or local anesthesia. The doctor will have you lie on your stomach on a special table. The table will have an opening for your breast. X-ray images will be taken from different angles to locate the mass. If you will have a large core needle biopsy , the doctor will insert a wire into the mass. A large needle used to remove the tissue will be threaded over this wire. A cylinder of breast tissue will be removed. If more samples are needed, the doctor may need to insert the wire and needle again to obtain them. If you are having a vacuum-assisted device biopsy , the doctor will use pressure from a vacuum to pull tissue from the mass through a needle and into a sampling chamber. This allows the doctor to collect multiple tissue samples during one needle insertion. How Long Will It Take?1-3 hours Will It Hurt?There will be slight pain in your breast after the biopsy. Your doctor may prescribe pain medicine. Post-procedure CareAt HomeWhen you return home after the procedure, do the following to help ensure a smooth recovery:
It will take about 2-5 days to receive your test results. Call Your DoctorAfter arriving home, contact your doctor if any of the following occurs:
In case of an emergency, call 911 immediately. CANADIAN RESOURCES: Canadian Breast Cancer Foundation Canadian Cancer Society References: Biopsy. The Breastcancer.org website. Available at: http://www.breastcancer.org/symptoms/testing/biopsy.jsp . Accessed February 19, 2008. Pfenninger JL, Fowler GC. Procedures for Primary Care Physicians . St. Louis, MO: Mosby-Year Book; 1994. Sabiston DC, Lyerly HK. Textbook of Surgery . 15th ed. Philadelphia, PA: WB Saunders Co.; 1997. Last reviewed October 2009 by Mohei Abouzied, MD Last updated Updated: 11/4/2009 Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2010 EBSCO Publishing All rights reserved.
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