Stereotactic Breast Biopsy

Your physician has referred you to the Diagnostic Services Department at United Hospital Center for a stereotactic breast biopsy. This simple procedure uses advanced computer imaging technology. It allows for the removal of tiny sections of tissue that indicate they required further attention after showing up on a mammogram, but cannot be felt. This modern procedure provides the same reliability as more complicated surgical biopsy, but provides these significant advantages:

• It does not require anesthesia
• It requires less time
• It is more cost effective
• It is much less complicated

After arriving in the Diagnostic Services Department, you will be taken to the Stereotactic Breast Biopsy room. You will be asked to remove the clothing on the upper portion of your body and put on a gown. The first part of the procedure is similar to a mammography exam. Your technologist will position you face down on the x-ray table. Your breast will be placed through a hole in the table top. Once you are in position, your breast will be held in place with compression. Your will then be asked to hold your breath as x-ray pictures are taken. This is done to verify the location of the area to be sampled. If not quite right, you will be repositioned until it is.

The radiologist will review these films. He/she will use a computer to read the x-rays and locate the precise area of your breast tissue which will be sampled. Next, the radiologist or surgeon will cleanse and numb the area to be tested. You may feel a tiny pinch similar to a pin prick. A small incision (no more than 1/4") will be made through which the biopsy needle will be inserted. You may feel some slight pressure during this time. It is important to relax. This should not be painful.

Once the radiologistor surgeon has obtained several samples of breast tissue, the procedure is complete. A sterile gauze will be applied to the examined area for several minutes to prevent bleeding. Depending on your case, ice may also be applied. Finally, before leaving, a simple pressure bandage and/or sterile strip(s) will be placed over the small incision. Instructions will then be provided concerning care of the area.

There is no special preparation for this procedure. For your comfort, a two piece outfit and a loose bra should be worn. Jewelry, other than rings, are best left at home. Medications you are taking, especially anti-coagulants, aspirin and lasix, should be discussed at the time your appointment is made. A light meal before the exam will probably keep you more comfortable than a heavy one, but the choice is yours.

The entire stereotactic breast biopsy procedure can take as little as one hour. After the procedure you will be free to return to your normal activities, unless told otherwise by your doctor. You may experience some bruising and soreness and you should avoid strenuous activity and heavy lifting for the remainder of the day. Your breast will heal quickly, leaving almost no sign of the procedure. Scarring of the breast almost never occurs.

A pathologist, a physician that specializes in analyzing tissue samples under a microscope, will prepare a report for your physician. Your doctor will review the results and discuss the findings with you. Typically, the results will be available in 24-48 hours.