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Tests and Procedures: Stereotactic Breast Biopsy

What is Stereotactic Breast Biopsy?

Based on the results of a mammogram, your physician may recommend a breast biopsy in order to obtain further information. A biopsy is a procedure where a small sample of tissue is taken for further examination by the laboratory. There are different types of biopsies; this type is a stereotactic core biopsy.

During this procedure, small samples of tissue are removed from the breast using a hollow needle. The needle is precisely guided to the correct location using x-ray guidance.

Preparation

Diet and Medications

  • You are advised not to take aspirin, ibuprofen (such as Advil) or blood thinners for at least 3-7 days prior to the test. Consult your physician’s office for more complete instructions if you are currently taking these medications. Products containing acetaminophen, such as Tylenol, are okay. 
  • You may eat a light meal.

What to Wear

  • Wear a loose-fitting, two-piece outfit, such as a sweat suit or slacks and a blouse.
  • Do not wear earrings or necklaces.
  • Bring or wear a comfortable bra. 
  • Avoid using deodorant, talcum powder or bath oil on the day of your biopsy.

Please Bring a Driver

Please bring someone with you to drive you home.  A comfortable waiting area will be provided for your companion.

Health History

Prior to your procedure, a nurse will contact you to obtain a health history and answer any questions you may have. If you have not received this call the day before your procedure, or you have additional questions, contact the Breast Health Coordinator at (989) 837-9070.

Stereotactic Breast BiopsyWhat to Expect

During the Procedure

  • You will lie face down on a specially designed table with your breast positioned naturally and comfortably through an opening in the tabletop. 
  • The tabletop will be raised so a radiologist and technologist are able to perform the procedure from underneath the table.
  • Your breast will be moderately compressed and held in position throughout the procedure. 
  • Several X-rays will be taken, which will help locate the questionable area and calculate where the radiologist should place the biopsy instrument.
  • The doctor will inject a local anesthetic into the area where the needle will be placed. 
  • When the area is completely numb, a small incision will be made. Several cores of tissue will be taken and sent to pathology.
  • During the procedure, you will be told what is occurring and your comfort level will be continually evaluated.

After the Procedure

  • Manual pressure will be applied to the needle placement area. A bandage and cold compress will be applied to relieve swelling and bruising. 
  • You may take a non-aspirin pain reliever like Tylenol every 4 to 6 hours to help alleviate any discomfort, if needed.
  • Do not participate in strenuous activity for 24 hours, such as aerobics, weight lifting, tennis, skiing, vacuuming or similar activities. Most patients can resume regular work or activities 24 hours after the procedure.
  • You may notice some bruising of the area, which should resolve within 5 to 7 days. If you notice any excessive swelling, bleeding, drainage, redness or heat, please call your physician.

Getting Your Biopsy Results
Waiting for biopsy results is never easy. We would suggest that two working days following the procedure you call the office of the doctor who ordered your biopsy. Inform them that your biopsy has been completed. They will provide more details regarding how you will get the results. 

If you have any questions, please call MidMichigan’s Breast Health Coordinator at (989) 837-9070.

Time Required

  • Approximately 90 minutes for the procedure
  • Allow several working days for your doctor to receive your results.

Locations

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  • Understanding & applying for Medicare drug discount cards (Access to Benefits Coalition)
  • Talking with Your Doctor (A guide for older people from the National Institute on Aging)
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