Biopsy: breast

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The breast biopsy - i.e. the removal of a tissue sample from the breast - is used to clarify the suspicion of breast cancer. Possible procedures here are vacuum biopsy and punch biopsy. Breast tissue and, if necessary, lymph node tissue are obtained and then examined for cancer cells in a laboratory. Read more about the breast biopsy and what you need to consider afterwards here.

Process of the punch biopsy and vacuum biopsy

The breast and surrounding regions are first disinfected and locally anesthetized. With a punch biopsy, the doctor pushes a fine guide cannula through the skin into the suspected chest area under visual control using an ultrasound or X-ray device. With a special biopsy gun, he shoots a biopsy needle into the tissue via the guide cannula, thereby punching out several small tissue cylinders.

More tissue can be removed with a vacuum biopsy. As part of an X-ray or MRI examination, the doctor localizes the suspicious tissue change. A computer evaluates the images, calculates the exact puncture angle and depth of the biopsy needle and shoots it into the tissue with pressure. The cut tissue cylinders are sucked out of the hollow needle by means of a vacuum.

Biopsy: breast - what do I have to consider?

After the exam, you may experience light bleeding or bruising. Normally, these regress within a few days. The wound caused by the puncture canal is not sutured and heals by itself. Since the needle used in the vacuum biopsy is slightly thicker than in the punch biopsy, a small scar can remain on the breast.

The breast is somewhat tender to pressure in the first few days after the biopsy, but the pain quickly subsides as the wound heals. Infections of the branch canal are rare. When washing, make sure that the wound does not get wet and does not come into contact with soap or shampoo.

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