The Abramson Cancer Center of the University of Pennsylvania
Last Modified: May 18, 2009
This "Helpful Facts" sheet is designed to give you basic information on needle localization biopsy. More detailed information can be provided by your doctor or nurse. If, you have other questions or would like additional information, please talk to your doctor or nurse.
What is a breast biopsy?
A biopsy is a surgical procedure that removes a sample of tissue from the body. The tissue is then examined under the microscope by a pathologist to determine if there is cancer present. Pathologists are physicians who are specially trained to diagnose diseases using tissue or other samples from the body.
When is a needle localization breast biopsy recommended?
A needle localization biopsy is done when an abnormality is seen on mammogram but no lump can be felt on physical exam. The biopsy is used to make a precise diagnosis and develop a treatment plan that is best for you.
What is a needle localization biopsy and how is it done?
A needle localization biopsy involves the removal of the entire lump, or area of concern, in your breast. This is usually done as an outpatient procedure (Ambulatory Procedure Unit). You will start the day in Radiology where the radiologist uses mammography or ultrasound to guide the needle into the area of concern. The needle is then removed and a flexible wire is left in place in your breast. This is called "needle localization". The wire is then covered with a dressing to hold it in place. The average time for this part of the procedure is 30-60 minutes. You are then taken to the operating room where you will receive a local anesthetic to numb your breast, as well as, sedation through a needle in your arm to make you sleep through the procedure. The surgeon uses the wire as a guide to precisely locate the lump. An incision (cut) is made and the abnormal tissue, along with the wire, is removed. The tissue is then sent to pathology for review. When the surgery is complete, a dressing is placed over the incision and you are taken to the post anesthesia care unit (PACU) to recover. In general, you can expect to be in the operating room for 60 to 90 minutes and in the PACU for about 1-2 hours.
What are the risks of this procedure?
All surgery involves risk. Your surgeon will discuss the risks of the biopsy with you. There can be some scarring or change in the shape of the breast, depending on the size and location of the lump.
Your surgeon will discuss what you can expect. Other risks and complications associated with breast surgery are listed below:
When do i learn the results?
It takes approximately 5 to 7 working days to get pathology results. The results will be discussed with you at your first post-operative visit.
Francis Spitz, MD
|Location:||The Rowan Breast Center|
14 Floor, Penn Tower
|Who to call in case of emergency:
During normal business hours, call Dr. Spitz's office at 215-614-0857
On weekends, nights and holidays, call the Hospital Operator at 215-662-4000 and ask for the "Surgery A" resident on call.
Oct 24, 2014 - Using stereotactic- and ultrasound-guided core needle biopsy to conduct breast biopsies gives results almost as accurate as open surgical biopsy, and carries a lower risk of complications, according to a study published online Dec. 14 in the Annals of Internal Medicine.