Patient resources breast biopsy

What to expect during a breast biopsy

We understand that undergoing a breast biopsy can be a nerve-wracking and uncertain experience. That’s why we’re here to provide essential information and support, helping you navigate this procedure confidently and clearly.

A breast biopsy is a diagnostic procedure performed to investigate any abnormalities or concerns in breast tissue. It determines whether a breast abnormality is benign (noncancerous) or malignant (cancerous). Healthcare professionals can then analyze the abnormality under a microscope to determine a diagnosis.

Why do I need a breast biopsy?

Breast biopsies are typically recommended when an imaging test, such as a Mammogram or ultrasound or MRI, detects a suspicious area in the breast. These imaging techniques play a vital role in guiding the biopsy procedure.

Our radiologist can accurately target the suspicious area during the biopsy procedure, minimizing invasiveness and ensuring optimal sample collection. Not all breast abnormalities detected on imaging require a biopsy.

How can I prepare for the biopsy?

Call our clinic to schedule an appointment for your biopsy. They will consider factors such as your menstrual cycle, if applicable, and any medications you are taking. Talk with our radiologist about the following before the procedure:

• Concerns and anxiety: Do not hesitate to voice any fears or concerns. Our radiologist is there to support you and can provide valuable information and reassurance to alleviate your anxieties about the procedure.
• Instructions for fasting or medications: Your healthcare provider may provide specific instructions regarding fasting before the procedure. Follow these guidelines closely to ensure accurate results and minimize any potential complications. Aspirin and anticoagulation medications should be stopped few days before the procedure but you have to discuss stopping these medications first with your referring physicians. Make sure you inform your radiologist if you are taking any of these medications because they could increase your risk of bleeding during the procedure.
• Clothing and comfort: Wear comfortable, loose-fitting clothing on the day of the biopsy. This will allow easy access to the biopsy site and ensure your comfort during the procedure. Avoid wearing jewelry or accessories that may interfere with the process.

What to expect from a breast biopsy

Throughout the procedure, our radiologist and team will prioritize your comfort and well-being, ensuring you are informed and involved in every step. If you experience significant discomfort or have concerns, do not hesitate to communicate with your healthcare provider.

Here, we’ll walk you through the typical steps involved in a breast biopsy:

• Arrival and pre-procedure preparation: On the day of the biopsy, you will be greeted by the medical staff, who will guide you through the process.
• Local anesthesia administration: A local anesthetic will be administered to numb the biopsy site before the biopsy begins. This helps minimize any discomfort or pain during the procedure. The medication will cause some burning sensation at the site of the biopsy that would last only a few seconds.
• Biopsy technique: Depending on the type of biopsy recommended, the provider will proceed with the chosen method. Needle biopsies, such as Fine needle biopsies (FNA) or core needle biopsies, involve using a thin needle to extract tissue samples from the identified area. Surgical biopsies involve removing a larger portion or the entire abnormal area through a small surgical incision.
• Imaging guidance: In many cases, imaging techniques like mammography, ultrasound will be utilized during the biopsy to accurately guide the needle or surgical instrument to the targeted area.
• Sample collection: The healthcare provider will obtain tissue samples from the identified area using the selected biopsy method. Once the tissue samples are collected, they will be properly labeled and sent to the laboratory for analysis.

How painful is a breast biopsy?

While discomfort during a breast biopsy is minimal, individual experiences may differ. Factors such as the location of the biopsy site, the complexity of the procedure, and personal pain sensitivity can influence the level of discomfort.

Here’s what you can expect in terms of pain during the procedure:

• Local anesthesia: The anesthesia is typically injected using a small needle and may cause a brief sting or pinch sensation. However, the numbing effect quickly reduces potential pain or discomfort.
• Sensations during the procedure: During the biopsy, you may feel pressure or a pushing sensation as the radiologist guides the biopsy needle or performs the surgical technique.
• After the procedure: Following the biopsy, you may experience some soreness at the biopsy site. This is normal and can be managed with over-the-counter pain medications. However, severe pain or excessive swelling should be promptly reported to your healthcare team.

How long does a breast biopsy take?

While the time estimates provided here can give you a general idea, remember that your radiologist will be able to give you a more accurate timeline based on your specific case. Most breast biopsies are relatively quick and can last from 15 to 60 minutes, depending on the type of biopsy recommended and the number of samples needed.

Are there any risks or potential complications associated with a breast biopsy?

While breast biopsies are generally safe, like any medical procedure, some risks are involved. These can include bleeding, infection, bruising, or, rarely, damage to surrounding structures. Your healthcare provider will discuss the potential risks and complications with you before the procedure, and they will take steps to minimize these risks.

What to expect post-biopsy

Remember, every individual’s recovery process is unique. It’s important to closely follow the post-biopsy care instructions provided by your radiologist and to reach out to them if you have any concerns or questions during the recovery period.

Here’s what you can expect in terms of post-biopsy care and recovery:

• Immediate post-biopsy care: The healthcare provider will apply a bandage or dressing to the biopsy site following the biopsy procedure. They will provide you with specific instructions on how to care for the site, including when and how to change the dressing. You can take a shower 24 hours after the procedure and remove the dressing completely to let it dry.
• Pain management: It is normal to experience some soreness, tenderness, or mild discomfort at the biopsy site for a few days following the procedure. Over-the-counter pain medications can be taken every 8 hours for the first 48 hours to control any pain or soreness and help manage any discomfort. Avoid taking aspirin unless specifically instructed, as it may increase the risk of bleeding. Avoid taking any Ibuprofen pain medications.
• Physical activities: Most individuals can resume regular activities within a day or two after a needle biopsy. Surgical biopsies may require a slightly longer recovery, with limited activities for a few days. Avoid carrying any heavy weights in the first 48 hours, especially after VACUM assisted biopsy or resection of a lesion.
• Monitoring the biopsy site: Keep a close eye on the site for any signs of infection. If you notice any redness or swelling, contact your healthcare provider promptly for further evaluation.

Can I sleep on my side after a breast biopsy?

In the immediate hours following the biopsy, avoid sleeping on the side of the biopsy site. This is to minimize pressure and potential discomfort at the site and prevent any disruption to the healing process. It is advisable to sleep on your back or in a slightly elevated position using pillows to support and reduce strain on the biopsy area.

As the days pass and the biopsy site begins to heal, you may gradually resume sleeping on your side if it feels comfortable. If sleeping on your side causes discomfort, continue sleeping on your back or in a position that provides the most comfort.

How long will I wait for my breast biopsy results?

In most cases, the final biopsy results may take a few days to a week. The tissue samples obtained during the biopsy will be sent to a laboratory for analysis by pathologists specializing in breast tissue. Once the results are available, your radiologist will discuss them during a follow-up appointment.

Can I drive myself home after the biopsy?

Most individuals can drive home after a breast biopsy, especially if a local anesthetic is used.