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Baptist M&S Imaging provides superior testing for breast cancer including breast biopsies. A core needle breast biopsy is a minimally invasive procedure which removes a small sample of the breast tissue from a lesion seen on mammogram, ultrasound, or MRI. This tissue is then sent to pathology to be evaluated with special stains under a microscope. A definitive diagnosis of a benign breast lesion versus a breast cancer can then be made by a pathologist.

When our radiologists recommend a breast biopsy or your doctor orders a breast biopsy, it does not automatically mean that you have breast cancer. It simply means that a breast lesion (such as a mass, a complex cyst, or tiny calcifications) has been detected by imaging and is suspicious for breast cancer. A biopsy is performed to provide a definitive tissue diagnosis of a suspicious breast lesion.

Ultrasound Guided Core Needle Biopsy

Ladies against Breast CancerThis is very safe procedure which typically takes 15 minutes or less to perform.  A local anesthetic (lidocaine) is injected into the breast at the site of the biopsy to numb the tissue. The radiologist then uses ultrasound to guide the biopsy needle to the breast lesion. Several samples are then taken and a tiny metallic marker clip is then placed in the lesion. The needle is removed and a special bandage is placed. No stitches are required. A light compression mammogram is usually obtained afterwards to confirm that the marker clip is accurately positioned. This is a minimally invasive, same day procedure which is well tolerated by our patients.

Stereotactic Core Needle Biopsy

We use a state-of-the-art vacuum-assisted core biopsy device to biopsy breast lesions that are only seen by mammogram with no correlate on ultrasound. Most often, stereotactic biopsies are performed for tiny calcifications or other small densities which are suspicious for early breast cancer. The patient lies prone on a special table and the breast lesion is targeted using mammographic/stereotactic guidance. Local anesthetic is provided to the breast. The biopsy needle is inserted and several very small core specimens are then obtained from the breast lesion.  A biopsy marker clip is then placed. A special bandage is applied and then a light compression mammogram is obtained to confirm accurate placement of the clip. The procedure typically takes 15-30 minutes. This is a very safe, minimally invasive procedure and is well tolerated by our patients. .

MRI Guided Core Needle Biopsy

We perform MRI guided biopsies for lesions that can only be seen on breast MRI.   Similar to the stereotactic biopsy, the patient lies prone on the MRI table and the breast is placed in compression.  Local anesthetic is provided to the breast.  The biopsy needle is carefully guided to the lesion by taking a series of MRI images with intravenous gadolinium contrast.  Several core samples are then taken, a biopsy marker clip is placed, and the needle is removed. A special bandage is applied and then a mammogram is obtained to confirm placement of the biopsy clip.  This procedure takes about 30 to 45 minutes.  This is a very safe, minimally invasive procedure which is well tolerated by our patients.

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