Breast Biopsy Houston
For a definitive diagnosis of a breast lump or an abnormality discovered on a mammogram or an ultrasound, a biopsy is necessary. There are two kinds, a surgical biopsy which is performed by a Breast surgeon and is performed in an Operating room and a minimally invasive outpatient biopsy done under ultrasound guidance. The latter may be carried out using a thin needle called a fine needle aspiration, this is used to sample tissue from an abnormal lymph node in the armpit. In the breast we mostly use the core biopsy needle to obtain satisfactory samples that allows a definitive diagnosis.
At the Woman’s Clinic, we offer a minimally invasive ultrasound-guided breast biopsy procedure. Tissue samples are collected percutaneously under ultrasound guidance. Percutaneous biopsy means using a needle that passes through the skin after numbing the skin and tissue around the mass with a local anesthetic injection. Mammography and ultrasound detect many non-cancerous abnormalities in the breast and a breast biopsy is the only way to determine if the growth is cancerous. An ultrasound-guided breast biopsy uses soundwaves to accurately locate the solid lesion or abnormality. Next, it tissue samples are collected using a needle for further analysis by a pathologist under a microscope.
This procedure is minimally invasive and an effective less traumatic and less expensive alternate to a surgical biopsy and generally takes 10-20 minutes to perform. Both the puncture site on the skin and the tissue around the tumor get anesthetized before the procedure. Sampling happens under real-time ultrasound guidance to optimize tissue sampling. A clip is deployed once satisfactory samples are collected. A dual-view mammogram is utilized to document clip placement within the abnormality undergoing biopsy.
Ultrasound guided core needle biopsy of a solid tumor in the breast
Histological sample shows cancer cells
What to Expect
• Wear comfortable, loose-fitting clothing for the ultrasound examination;
• Remove jewelry or other items of clothing that may interfere with the ultrasound biopsy procedure;
• Refrain from taking aspirin or blood thinners three to five days before the procedure to lower the risks of bleeding after consultation with your cardiologist; A detailed information regarding this will be provided by our staff before the biopsy is scheduled. The Breast imaging specialist will additionally describe the procedure prior to biopsy as during obtaining informed consent.
Ultrasound-guided biopsy has minimal complications, is performed quickly and is much less expensive than other biopsy methods. This procedure does not expose the patient to any ionizing radiation and leaves little-to-no scars. Additionally, the recovery time is quick, and patients can soon resume their usual activities with minimal downtime. Ultrasound-guided biopsies occur more often and are a safer alternative to surgical biopsies for abnormalities visible on a sonogram.
WHAT HAPPENS AFTER THE BIOPSY?
The results generally take 3 business days. The Breast Imaging specialist will review the pathology report, and make sure that the results are concordant or match with the abnormality that was biopsied. Patient and or her doctor will be notified of the results with a recommendation for a follow up or further consultation with a breast surgeon and a report with these recommendations is sent to the referring doctor.