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Breast biopsy

breast biopsy · breast needle biopsy · core needle biopsy · breast lump biopsy

Using ultrasound to guide it, the doctor takes tiny pieces of breast tissue with a thin needle. They are studied under a microscope.

When an ultrasound or mammogram found a lump or spot, and it needs to be known exactly what it is.

⏱ Duration: usually 20 to 40 minutes; taking the samples takes a few minutes

Be sure to tell your doctor

How to prepare

  • Food. Usually you can eat as normal. Check with your clinic.
  • Skin. On the day of the procedure, do not put cream on your breasts or deodorant under your arms.
  • Clothes. Comfortable clothes with a top that is easy to take off. A firm bra will support the breast afterwards.

What to bring

  • Your referral
  • Your ultrasound and mammogram images and reports
  • A list of your medicines

How it goes

  1. You lie on your back or slightly on your side
  2. The doctor finds the right spot with ultrasound
  3. The skin is cleaned and you get a numbing injection
  4. A tiny nick is made in the skin
  5. Several samples are taken with the needle. You will hear a click
  6. Sometimes a tiny marker is left to mark the spot
  7. The spot is pressed and covered with a bandage

What you'll feel

  • The numbing injection burns a little
  • Then you feel pressure and clicks, but not pain
  • If it hurts, tell the doctor. You will get more numbing

Afterwards

  • A cold pack on the breast, through cloth, reduces swelling and bruising
  • A bruise and soreness for a few days are normal
  • No sports or heavy lifting for 1 to 2 days
  • Results usually come in 1 to 2 weeks. The doctor explains them

Contact a doctor straight away if

  • The bandage soaks through with blood, or the breast swells fast
  • Fever, redness, or strong pain that gets worse

Common questions

Does a breast biopsy hurt?

It is done with local numbing. Usually you feel only the injection and pressure.

Can a biopsy cause harm if the lump is dangerous?

No. Current evidence shows a biopsy does not speed up or spread the disease. Without it, the right treatment cannot be chosen.

Why is a marker left in the breast?

So the spot can be found exactly later. The marker is tiny, safe, and does not affect MRI.