Many women visit the surgeons at Breast Care Specialists after receiving an abnormal mammogram or breast ultrasound. We ask patients to bring the film to their first appointment. If this step has not been completed before your appointment, we may request a mammogram to help us characterize the lesion. Your first visit to us may also include an ultrasound completed in our office.
If the mass is a solid lesion, a breast biopsy is performed to remove some cells for a pathologist to examine under a microscope to determine a diagnosis. At Breast Care Specialists, we offer a full array of minimally invasive diagnostic procedures to determine a proper diagnosis, including:
Fine Needle Aspiration
A small needle is inserted into the mass and passed in several directions to extract fluid or cells from the abnormal area for a pathologist’s evaluation.
Ultrasound Guided Biopsy/Cyst Aspiration
Ultrasound imaging can be used to determine the exact location of a cyst within the breast tissue. The images assist in precisely positioning the needle within your breast in order to drain fluid-filled cysts or obtain a sample of a solid lesion.
Open Surgical Biopsy
This procedure involves complete removal of a lesion through an open surgical incision performed in an operating room with general or local anesthesia with sedation. For lesions that are not palpable and seen only on imaging, a wire marker may be positioned at the abnormality by a radiologist to mark the area to be removed during surgery. The incision is then closed with stitches. Most patients recover quickly from this surgery with minimal cosmetic changes.
Stereotactic Core Biopsy
A special mammography machine is used to help guide instruments to the site of the abnormal growth. The surgeons will then use a large hollow needle to remove a sample of breast tissue. Typically three to five samples are taken. This biopsy procedure is preferred over open surgical biopsy for those patients who are a candidate.
On average, 80%-90% of lesions detected by clinical exams and mammography are benign (non-cancerous). The pathology report takes several days to return.
The team at Breast Care Specialists is committed to getting you the most accurate results in a timely manner.