Description of Surgical Specialists' Breast Care Services



Needle Biopsy:

Fine needle aspiration - to obtain fluid or cells.

True cut - to obtain tissue.

• Procedure is performed in the office.

• No special preparation is required.

• The procedure is performed in five to ten minutes.

• A complete medical history, including medications, is obtained.

• The area to be biopsied is prepped with an iodine solution. Local anesthesia is used if needed. A small needle is inserted to obtain fluid or tissue. The specimen is sent to the lab.

• Normal activity may be resumed.

• Results will be available within 24 hours.

• Minimal discomfort during needle insertion.

• There is a minimal risk of bleeding or infection.

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Open Excisional Biopsy:

Performed for palpable lumps, needle biopsies that are inconclusive, or abnormal mammograms if clinically indicated.

• Procedure is performed in the on-site outpatient operating room, however sometimes must be done in a hospital operating room as a short stay procedure if conscious sedation is required.

• No special preparation is required unless the procedure is performed in the hospital. Those having an open excisional biopsy in the hospital will receive special instructions prior to the procedure.

• The procedure is performed in approximately half an hour.

• A complete medical history, including medications, is obtained.

• The area to be biopsied is prepped with an iodine solution. Sterile drapes will cover the surrounding area. Local anesthesia is used. A small incision is made, a specimen is obtained and sent to the lab. The incision is sutured.

• Ice packs are applied to the area for one to two hours after procedure to reduce swelling. Normal activity may be resumed. Avoid bumping incision.

• Results will be available within 24 hours.

• Pain is minimal and is usually relieved by Tylenol.

• Sutures are removed in the doctor's office seven to ten days after the procedure.

• There is a minimal risk of bleeding or infection.

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Ultrasound:

Evaluates lumps that have been palpated or identified on mammography.

• Procedure is performed in the office.

• An ultrasound operates like a sonar used by whales and submarines to locate objects under water. In ultrasound, harmless sound waves, generated from a small device (transducer) held onto your breast, are bounced back onto a screen, where they are recorded. The images on the screen are used to diagnose abnormalities in the breast tissue.

• A probe (transducer) will be lubricated with gel and the technician will hold it in various places across your breast. After obtaining the necessary information, the technician will remove the transducer.

• No special preparation is required.

• The procedure is performed in approximately half an hour.

• Results will be available within 24 hours.

• There is no pain or risk.

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