In our facility, biopsy procedures are performed with state of the art equipment using ultrasound, MRI, stereotactic or Tomosynthesis guidance. The techniques we use include fine needle aspiration with cytology, cyst aspiration, core needle biopsy and vacuum-assisted needle sampling of breast abnormalities. Highly precise equipment allows for accurate targeting and sampling of the abnormal area. Samples are sent to an experienced breast pathologist and the patient is notified of the results usually in one to two days.
For patients who have a suspicious type of nipple discharge, we perform galactography to identify the possible cause. Contrast is injected into the duct producing the discharge and digital imaging is performed. We are able to perform imaging guided biopsies of abnormalities detected by this method and diagnose the cause of discharge.
For lesions that are found on biopsy to be at high risk for malignancy or for patients undergoing lumpectomy to treat a mammographically-detected breast cancer, needle localization is performed. Prior to the surgery, a wire or wires are placed into the breast to indicate to the surgeon the area to be removed. This procedure is performed with stereotactic, mammographic, MRI or sonographic guidance to precisely pinpoint the area of concern. The procedure is performed in our office the morning of the planned surgery.