Stereotactic core biopsy

Stereotactic breast biopsy uses mammography to help locate a breast abnormality and remove a tissue sample for examination under a microscope.

Stereotactic core biopsy

Stereotactic breast biopsy uses mammography to help locate a breast abnormality and remove a tissue sample for examination under a microscope.

What is a stereotactic breast biopsy?

Mammography and other imaging exams can detect breast abnormalities, but they can't always determine if they are benign or cancerous. To confirm the nature of these abnormalities, doctors perform breast biopsies. 

These can be surgical or less invasive, typically using image-guidance and a hollow needle to obtain tissue samples for analysis.

In stereotactic breast biopsy, a special mammography machine uses x-rays to help guide the radiologist's biopsy equipment to the site of the lesion to obtain a small sample for further laboratory analysis.

A stereotactic core biopsy is a minimally invasive procedure and can avoid the need for a general anesthetic and open surgical biopsy. This is mostly performed for indeterminate calcification or masses. Only a local anaesthetic into the overlying skin and tissue is necessary.

The biopsy may be performed if breast imaging shows:

  • a suspicious mass
  • tiny clusters of small calcium deposits (microcalcifications)
  • a distortion in the structure of the breast tissue
  • an area of abnormal tissue change
  • a new mass or area of calcium deposits in a previous surgery site.

How do I prepare for a stereotactic biopsy? keyboard_arrow_down

You may need to remove some clothing and/or change into a gown for the exam. Remove jewellery, removable dental appliances, eyeglasses, and any metal objects or clothing that might interfere with the x-ray images.

Women should always tell their doctor if there is any possibility that they are pregnant.

You should not wear deodorant, powder, lotion or perfume under your arms or on your breasts on the day of the exam.

Prior to a needle biopsy, you should report to your doctor all medications that you are taking, including herbal supplements, and if you have any allergies, especially to anesthesia. Your physician may advise you to stop taking aspirin, blood thinners, or certain herbal supplements for three to five days before your procedure to decrease your risk of bleeding. Also, inform your doctor about recent illnesses or other medical conditions.

How is the procedure performed? keyboard_arrow_down

The procedure takes approx. 45 minutes with a varying amount of time taken in positioning the patient to ensure the area to be biopsied is within the optimal field of vision. The digital spot is easier, quicker and more accurate in determining the exact position of a suspected lesion.

A reclinable chair is used and you will be sitting or lying down for the procedure depending on the location of the abnormality. Positioning is determined by choosing the shortest route to the lesion from the skin surface. The breast is compressed throughout the procedure to immobilise and eliminate blurring of the images. Digital images of the area seen on the mammogram are taken and the computer is the used to pinpoint the exact position of the lesion and guide us to the area for biopsy. During the procedure, generally five needle passes are executed, taking tissue samples.

At the end of the procedure pressure is maintained at the site of the biopsy and a sterile Opsite dressing is used to protect the puncture site.

How will I feel after the examination? keyboard_arrow_down

You will be awake during your biopsy and should have little discomfort. Many women report little pain and no scarring on the breast. However, certain patients, including those with dense breast tissue or abnormalities near the chest wall or behind the nipple, may be more sensitive during the procedure.

When you receive the local anesthetic to numb the skin, you will feel a pin prick from the needle followed by a mild stinging sensation from the local anesthetic. You will likely feel some pressure when the doctor inserts the biopsy needle and during tissue sampling. This is normal. The area will become numb within a few seconds.

If you experience swelling and bruising following your biopsy, the radiologist may tell you to take an over-the-counter pain reliever and to use a cold pack. Temporary bruising is normal.

Call your doctor if you experience excessive swelling, bleeding, drainage, redness, or heat in the breast.

Avoid strenuous activity for at least 24 hours after the biopsy. The radiologist will outline more detailed post-procedure care instructions for you.

Who interprets the results and how do I get them? keyboard_arrow_down

The sample collected is sent to a laboratory for a pathologist to examine the specimen and make a diagnosis. 

The results will be sent to your referring doctor, please visit them to obtain the results. 

Related procedures

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How much will my examination cost?

Fees for radiology tests can vary and depend on a number of factors. Please make an enquiry with us by phone or email to get a quote for the service you require. ACC co-payments may apply.

We accept all radiology referral forms.

Waikato
Phone: 0800 426 723
Email: Booking.Waikato@i-med.co.nz

Rotorua
Phone: 0800 466 564
Email: Booking.Rotorua@i-med.co.nz

Bay of Plenty
Phone: 07 544 5993
Email: Bookings.bop@i-med.co.nz

Taranaki
Phone: 06 759 4317
Email: bookings@taranakiradiology.co.nz