Each type of biopsy has pros and cons. The choice of which type to use depends on things like:
- How suspicious the tumor looks
- How big it is, where it is in the breast
- How many tumors there are
- Other medical problems you might have
- Your personal preference
We perform different types of biopsies and our specialist will choose the best option for your biopsy according to your health situation.
In a fine needle aspiration biopsy (FNAB), the doctor (a pathologist, radiologist, or surgeon) uses a very thin needle attached to a syringe to withdraw (aspirate) a small amount of tissue from the suspicious area. This tissue is then looked at under a microscope.
A core needle biopsy (CNB) is much like an FNAB. A slightly larger, hollow needle is used to withdraw small cylinders (or cores) of tissue from the abnormal area in the breast. A CNB is most often done in the doctor’s office with local anesthesia (you are awake but your breast is numbed). The needle is put in 3 to 6 times to get the samples, or cores. This takes longer than an FNAB, but it’s more likely to give a clear result because more tissue is taken to be checked.
Our doctors will first try to figure out the cause of a breast change by doing a needle biopsy, but in some cases a surgical biopsy may be needed. A surgical biopsy is done by cutting the breast to take out all or part of the lump so it can be looked at under a microscope. This may also be called an open biopsy.
Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal size, shape, and appearance after a mastectomy. We perform cosmetic surgeries only in cases where a patient had a procedure done and needs cosmetic surgery. We do not do breast argumentation and similar procedures.