Stereotactic Breast Biopsy

Stereotactic breast biopsy is a safe and minimally invasive form of breast biopsy used to obtain tiny samples of tissue to confirm whether suspicious breast tissue is normal or abnormal. This biopsy is performed using a computer and x-ray technology to position a hollow biopsy needle.

The precision of stereotactic breast biopsy is used to sample tissue or fluid to aid in an accurate diagnosis.

These abnormalities may consist of:

Preparing for Stereotactic Breast Biopsy

Prior to the biopsy the patient will discuss with their referring physician & radiologist if they are pregnant, what medications they are taking, any allergies they may have. No blood thinning medications for 1 week before the procedure. No Aspirin, Advil or Motrin; Tylenol is ok.

Patients will be asked to remove jewelry and all metal objects before the procedure and may be asked to slip on a patient gown. We recommend you wear a comfortable 2-piece outfit. Do not wear deodorant, powder, lotion or perfume under your arms or on your breasts the day of your biopsy. You may eat a light meal prior to the biopsy procedure.

During and After Stereotactic Breast Biopsy

During a stereotactic breast biopsy, the patient will lie face down on a padded exam table and the breast will be positioned into an opening in the table. The breast will be compressed during the length of the biopsy procedure.

First, a local anesthetic will be injected into the breast to numb it and then a small nick will be made in the skin at the location where the biopsy needle will be inserted. Using x-ray as image guidance, the needle will be inserted, and a very small sampling of tissue will be collected. A small marker may be placed on the site of the biopsy so that it can be located in the future (if necessary), and a final set of images will be taken.

After the procedure, the tissue sample will be sent to a pathologist for review and a report of findings will be sent to the patient's physician.

Breast Ultrasound-Guided Biopsy

An ultrasound-guided breast biopsy uses sound waves to help locate a lump or abnormality, and then remove a tissue sample for examination under a microscope. It is less invasive than surgical biopsy, leaves little to no scarring and does not involve exposure to ionizing radiation.

What is Breast Ultrasound

Lumps or abnormalities in the breast are often detected by physical examination, mammography, or other imaging studies. However, it is not always possible to tell from these imaging tests whether a growth is benign or cancerous.

A breast biopsy is performed to remove some cells from a suspicious area in the breast and examine them under a microscope to determine a diagnosis. This can be performed surgically or, more commonly, by a radiologist using a less invasive procedure that involves a hollow needle and image-guidance. Image-guided needle biopsy is not designed to remove the entire lesion, but to obtain a small sample of the abnormality for further analysis.

In ultrasound-guided breast biopsy, ultrasound imaging is used to help guide the radiologist's instruments to the site of the abnormal growth.

What are some common uses of the procedure?

An ultrasound-guided breast biopsy can be performed when a breast ultrasound shows an abnormality such as:

There are times when your doctor may decide that ultrasound guidance for biopsy is appropriate even for a mass that can be felt.

Preparing for a Breast Ultrasound-Guided Biopsy

You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined. You may be asked to wear a gown during the procedure. Prior to a needle biopsy, you should report to your doctor all medications that you are taking, including herbal supplements, and if you have any allergies, especially to anesthesia. Your physician may advise you to stop taking aspirin, blood thinners, or certain herbal supplements three to five days before your procedure to decrease your risk of bleeding. Also, inform your doctor about recent illnesses or other medical conditions. You may want to have a relative or friend accompany you and drive you home afterward. This is recommended if you have been sedated.

Ultrasound-Guided Fine Needle Aspiration
Biopsy of the Thyroid

An ultrasound-guided thyroid biopsy uses sound waves to help guide placement of a needle within a nodule or abnormality to remove a tissue sample for examination under a microscope. Needle aspiration biopsy is less invasive than surgical biopsy, leaving little to no scarring and does not involve exposure to ionizing radiation.

What is Ultrasound-Guided Fine Needle Aspiration Biopsy of the Thyroid?

During a fine needle aspiration biopsy of the thyroid, a small sample of tissue is removed from the thyroid gland. The thyroid gland is located in front of the neck just above the neckline and is shaped like a butterfly, with two lobes on either side of the neck connected by a narrow band of tissue.

In a less invasive procedure, a needle biopsy (also called a needle aspiration) involves removing cells with a hollow needle from a suspicious area within the body. The cells are then examined under a microscope to determine a diagnosis.

reparing for an Ultrasound-Guided Thyroid Biopsy

Please notify your physician if you are taking any blood thinning agents.

How does the procedure work?

The physician inserts a fine gauge needle through the skin and advances it into the thyroid nodule. Samples of the cells are then obtained and put onto a slide for review by a pathologist. This procedure is usually completed in less than 30 minutes.

Who interprets the results and how do I get them?

A pathologist examines the removed specimen and makes a final diagnosis.