The technologist will take a careful history. If there is a history of a bleeding diathesis, please notify the technologist. Any allergy to lidocaine should also be presented to the technologist in order that an alternate medication be used.
Typically no sedation is necessary for this exam. If you feel a need for sedation, please discuss this with the technologist prior to the day of your biopsy.
You will be positioned on the ultrasound table and the radiologist will perform an ultrasound of the breast. The radiologist will cleanse the skin with betadine and inject lidocaine into the skin and deeper tissues. A small skin nick will be made and the Mammotome™ or core needle advanced into the breast. Needle position will be confirmed at ultrasound and several biopsies performed. Please speak up if there is any discomfort.
Immediately after the biopsy, a radiopaque marker will be deployed at the biopsy site; this will confirm the location of the biopsy and assist the surgeon should a lumpectomy later be required.
Post-biopsy specimen radiograph and mammography may be performed to document the procedure.
The needle will be removed and compression applied to the breast. You will be given an ice pack to be used for four hours after the biopsy.
The final pathologic results are typically available within 2-3 days. A report will be delivered to your physician, typically within 24 hours of receiving the biopsy results.
A technologist will contact you after your procedure; please let her know if you have had any problems or complications.
