Ultrasound Guided Biopsies

How the Procedure is performed?

Ultrasound Guided Biopsies

Viera Diagnostic Center is the only free standing outpatient facility in Brevard county to offer breast  biopsies to our patients.

An ultrasound-guided breast biopsy uses sound waves to help locate a lump or abnormality and remove a tissue sample for examination under a microscope. It is less invasive than surgical biopsy, leaves little to no scarring and does not involve exposure to ionizing radiation. Image-guided needle biopsy is not designed to remove the entire lesion but to obtain a small sample of the abnormality for further analysis.

Preparation for an ultrasound guided biopsy:

Wear comfortable, loose-fitting clothing. You may want to have a relative or friend accompany you but this is not required. Prior to a needle biopsy, you should refrain from taking blood thinners, aspirin, fish oil, Advil, naproxen, or any other anti-inflammatory medications for 7 days prior to your procedure. Tylenol is allowed. If you have any questions regarding this exam please contact our nurse at (321)254-7880.


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How the Procedure is performed?

Image-guided, minimally invasive procedures such as ultrasound-guided breast biopsy are most often performed by a specially trained radiologist.

You will be positioned lying face up on the examination table or turned slightly to the side.

A local anesthetic will be injected into the skin and more deeply into the breast to numb it.

Pressing the transducer to the breast, the sonographer or radiologist will locate the lesion.

The radiologist, monitoring the lesion site with the ultrasound probe, will insert the needle and advance it directly into the mass.

After this sampling, the needle will be removed.
A small marker may be placed at the biopsy site so that it can be located in the future if necessary.

Once the biopsy is complete, pressure will be applied to stop any bleeding and the opening in the skin is covered with a dressing. No sutures are needed.

A mammogram may be performed to confirm that the marker is in the proper position.

This procedure is usually completed within an hour.

What will I experience during and after the procedure?

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 biopsy needle is inserted and during tissue sampling, which is normal.

The area will become numb within a few seconds.

You must remain very still while the imaging and the biopsy are being performed.
As tissue samples are taken, you may hear clicks or buzzing sounds from the sampling instrument. These are normal.

You should avoid strenuous activity for at least 24 hours after the biopsy. We will outline more detailed post-procedure care instructions for you after your procedure.

Who interprets the results and how do I get them?

An offsite pathologist examines the removed specimen and makes a final diagnosis. The radiologist will also evaluate the results of the biopsy to make sure that the pathology and image findings explain one another. The results will be given to you by your referring physician about a week after the procedure.

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