Breast Ultrasound Core Biopsy for Patients from a Correctional Facility
Based on the results of your breast ultrasound, a doctor (radiologist) has recommended an ultrasound breast core biopsy. A doctor will remove breast tissue samples with a needle. Ultrasound is used to guide the needle to the correct place.
Before the Biopsy
The correctional facility will provide the Breast Center nurse with a list of all prescribed and over-the-counter medicines. You will need to stop any blood thinners 5 days before the biopsy. These include:
- Aspirin (Ecotrin®, Excedrin®, Alka-Seltzer®, Anacin®, etc.)
- Non-Steroidal Anti-Inflammatory Drugs (Advil®, Motrin®, ibuprofen, Aleve®, Nuprin®, naproxen, Naprosyn®, etc.)
- Vitamin E, Omega 3 Oils such as Fish or Flaxseed; Ginger, Ginkgo Biloba, Ginseng, and all herbal medicines or teas
- Warfarin or Coumadin® - we will work with your doctor to stop these.
The Breast Center does not provide relaxants or anti-anxiety medicines. If you feel this is needed, you must discuss the with your facility provider in advance. Take it as prescribed. Tell the Breast Center nurse the name of the medicine, the amount, and the time you took it on the day of your biopsy.
Let us know of any allergies. This includes; Lidocaine® and other medicines, latex, metal, and tape.
Please eat and drink as normal. There is no need for you to fast.
Wear a two-piece outfit. You will be asked to undress from the waist up.
Do not wear talcum powder, lotions, or deodorant on your upper body.
During the Biopsy
You will lie on your back on the exam table. Gel will be placed on your breast and the area of concern will be located using ultrasound. A picture of this area will be shown on the computer.
Your breast will be cleaned with an antiseptic that may feel cool on your skin.
Your breast will be numbed with Lidocaine®. You will feel a sting, but our goal is that you not feel any pain after this is given. You may feel pressure during the procedure. If you feel pain, let the staff know so that we can help lessen any pain.
The doctor will then use ultrasound to guide the biopsy needle to the correct site. A small nick will be made in the skin of your breast to help guide the needle into your breast. The doctor will insert the needle using the computer image as a guide to ensure that a tissue sample is taken from the correct site.
When the biopsy is ready to be taken, the doctor will release a device at the end of the needle. You will hear a clicking or whirring sound. The doctor will remove the needle and the tissue sample. The doctor may need to obtain 4-5 more samples. The samples will be sent to pathology.
After the biopsy, a small titanium marker will be placed in the breast. It will be seen on future mammograms. There are no known risks with having the marker or clip. You do not need to worry about metal detectors or MRI procedures, as titanium is not affected by this type of equipment.
The needle will be removed from your breast. There may be slight bleeding. Pressure will be applied to the site to stop any bleeding. The site will be covered with thin strips of tape (Steri-Strips®), followed by an ice pack for about ten minutes.
A final mammogram will be done to ensure the biopsy went as planned, and a final protective bandage will be applied.
Care after the Biopsy
Keep the bandage in place for about 24 hours. The steri-strips will loosen and come off on their own in about 7 days. If they are still in place after 7 days you may gently peel them off.
Use a cold pack or ice 3 times for 15-20 minutes for the rest of the day to reduce the swelling and help with pain.
For the first 24 hours, you may take Tylenol® (acetaminophen) as needed for pain, (unless you have liver disease). Follow the package directions. Do not use ibuprofen.
For the first 24 hours, wear a bra for support and avoid vigorous arm movements and heavy lifting (more than 10 pounds). Sports bras work well.
If you wish, you may return to work and most activities the next day.
You may shower after 24 hours. Do not soak in a tub or pool for 48 hours.
Bruising may occur, but should go away in 5-7 days.
If you notice any excess swelling, bleeding, drainage, redness, or heat, please tell your facility nurse.
The final results of the test should be available in about 3-4 working days. The provider who ordered the exam will give you the results.
If you have questions or concerns, please contact your facility nurse or doctor.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 04/17/2009
Copyright © 04/17/2009 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. UWH #6888
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