Breast Biopsy
A breast biopsy is a crucial diagnostic procedure used to determine whether a breast lump or abnormality is benign (non-cancerous) or malignant (cancerous). It involves removing a small sample of breast tissue, which is then examined under a microscope by a pathologist.
Why is a Breast Biopsy Recommended?
A breast biopsy is recommended when an abnormality is detected through a physical exam, mammogram, ultrasound, or MRI. Common reasons for a biopsy include:
A palpable lump in the breast
Suspicious areas on imaging tests
Changes in the nipple or breast skin
Unexplained nipple discharge
Types of Breast Biopsies
Several types of breast biopsies can be performed, depending on the nature and location of the abnormality:
Fine-Needle Aspiration (FNA): A thin needle is used to extract fluid or cells from the lump.
Core Needle Biopsy: A larger, hollow needle removes small cylinders (cores) of tissue.
Stereotactic Biopsy: Imaging guidance, usually mammography, is used to accurately target and sample the abnormal area.
Ultrasound-Guided Biopsy: Ultrasound imaging helps guide the needle to the precise location of the abnormality.
Surgical (Excisional) Biopsy: A surgeon removes all or part of a lump for examination, typically performed when other biopsy methods are inconclusive.
What to expect from a biopsy
Before the biopsy
Your doctor will review your medical history and any prior imaging results. You may need to avoid certain medications, such as blood thinners, before the procedure.
During the Biopsy
The procedure is usually done under local anaesthesia to numb the area, so you remain awake but comfortable. The biopsy itself takes about 15 to 60 minutes, depending on the method used.
After the Biopsy
Mild discomfort, bruising, or swelling may occur at the biopsy site. Over-the-counter pain relief can help manage any discomfort. Your doctor will provide specific aftercare instructions.
Recovery and Results
Recovery from a breast biopsy is typically quick, with most women returning to normal activities within a day. The biopsy results are usually available within a few days to a week. Your doctor will discuss the findings with you and outline any necessary next steps.
What’s next?
A breast biopsy is a vital tool in diagnosing breast abnormalities and guiding appropriate treatment. While the idea of a biopsy can be daunting, understanding the process and what to expect can help ease anxiety. If you have any concerns or questions about the procedure, your oncoplastic breast surgeon is there to provide guidance and support every step of the way.
