Ultrasound-guided core needle biopsy of the breast

What is Ultrasound-guided Core Needle Breast Biopsy

Ultrasound-guided core needle breast biopsy is a medical procedure in which a tissue sample is taken from the breast using a thicker needle, under ultrasound guidance. This test allows for a precise evaluation of changes in the breast, such as tumors, cysts, or other abnormalities.

Who is it for

Core needle breast biopsy is recommended for women in whom the doctor suspects changes in the breast, such as lumps that may require further diagnostics. It is also an important test for individuals who have abnormal results from mammography or breast ultrasound.

How to prepare for the test

The following are required for the biopsy:

• Prior ultrasound examination of the area
• and a referral for the biopsy in paper form. 

No special preparations are required for the breast biopsy. However, it is important to inform the doctor about any medications being taken, especially blood thinners, as they may need to be temporarily stopped before the procedure. On the day of the test, it is also advisable to maintain personal hygiene.

What are the contraindications for the biopsy

The main contraindications include:

• blood clotting disorders (including hemorrhagic diathesis),
• active infections at the planned puncture site,
• purulent changes in the procedure area
• use of blood-thinning medications, which may require discontinuation prior to the procedure.
• In some cases, severe systemic diseases or difficult localization of the lesion may also be contraindications. 

How the test is performed

The core needle breast biopsy is performed under local anesthesia. The doctor inserts a needle through the skin into the breast change, under ultrasound guidance, to collect a tissue sample. The procedure usually lasts from a few to several minutes and is relatively minimally invasive. It may cause slight discomfort, but it is not painful.

How long to wait for results and how to interpret them

Results of the breast biopsy are usually available within 14 working days. The doctor will evaluate the sample for the presence of abnormal cells, such as cancer cells or benign changes. The result may indicate no changes, the presence of benign changes, or the presence of cancer, which will require further testing.

Additional information

Ultrasound-guided core needle breast biopsy is a safe procedure, but like any medical intervention, it carries some risks. Possible complications include infections, bleeding, or pain at the site of the puncture. If any concerning symptoms arise after the test, the patient should immediately contact their doctor.