What is Stereotactic Breast Biopsy?

Stereotactic technique involves the use of computers to pinpoint the exact location of a breast mass based on digital mammogram x-rays taken from two different angles. Computer generated coordinates help the radiologist to precisely guide a biopsy needle directly to the correct area in the breast where tiny samples of tissue are removed and sent for laboratory evaluation by a pathologist.

This procedure often avoids the need for an open surgical (excisional) biopsy. The accuracy of stereotactic breast biopsy is similar to excisional biopsy, but is much less complicated to perform, and it requires less time than a surgical biopsy. There is decreased patient discomfort and recovery is very quick. Since stereotactic breast biopsy does not require an incision like surgical biopsy, there is no cosmetic defect of the breast. A band-aid is placed over the site where the biopsy needle was placed. Also, stereotactic breast biopsy is more cost effective than the surgical approach.

What is involved in the procedure?

The Stereotactic Biopsy of a small area of your breast tissue is performed by a board certified radiologist with special competency and experience in this technique. We have depth of experience performing these procedures since 1995. A mammography technologist will assist the radiologist throughout the procedure. You will be positioned as comfortably as possible on your abdomen on a special padded x-ray table and your breast will be gently place through an opening in the table. Once you are in position, your breast will be held in place with light compression. You will then be asked to briefly hold your breath as x-ray pictures are taken. This is done to verify the location of the area to be sampled. The radiologist will review the films and will use a computer to precisely locate the area of your breast tissue to be sampled. Next, the radiologist will numb the area to be tested. Then a small ¼" incision will be made through which the biopsy needle will be inserted. You may feel some slight pressure at this time. It is important to relax, as this is rarely painful.

Which RIA facilities perform Stereotactic Breast Biopsy?

In Maryland, RIA at Patuxent is the location of our regional stereotactic breast biopsy program.

In Virginia, RIA at Sterling is the location of our regional stereotactic breast biopsy program.

 


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