Breast Biopsy & Excisional Biopsy

Accurate Diagnosis with the Least Invasive Approach

When a breast abnormality is found, the most important next step is obtaining an accurate diagnosis. A breast biopsy allows us to determine whether a finding is benign or cancerous and helps guide appropriate treatment. Our goal is always to use the least invasive method possible while ensuring reliable, high-quality results.

Every breast finding is different. The type of biopsy recommended depends on how the area appears on imaging, whether it can be felt, and how clearly it can be visualized.

Ultrasound-Guided Core Needle Biopsy

Many breast masses and abnormal lymph nodes can be safely and effectively biopsied using ultrasound guidance.

What is an ultrasound-guided core needle biopsy?

A minimally invasive procedure performed using real-time ultrasound imaging
Allows me to precisely guide a needle into the area of concern
Small tissue samples (“cores”) are removed for pathology analysis
Typically performed in the clinic under local anesthesia

For most visible breast masses or suspicious lymph nodes, this approach provides excellent diagnostic accuracy with minimal discomfort and a quick recovery.

Marking Clip Placement

A small marking clip is usually placed at the biopsy site
The clip helps identify the area for future imaging or surgery if needed
The clip is safe, permanent, and does not set off metal detectors

Biopsy of Lymph Nodes

Suspicious lymph nodes—often in the armpit (axilla)—can also be evaluated using ultrasound-guided core needle biopsy. This helps determine whether cancer has spread and assists in surgical and treatment planning.

When Ultrasound Is Not Enough

Not all breast abnormalities can be seen clearly on ultrasound. Some findings, such as subtle changes or microcalcifications, are best detected on mammography and may not be visible with ultrasound imaging.
In these cases:
- An ultrasound-guided biopsy may not be possible
- Referral to a breast diagnostic center may be recommended
- A stereotactic (mammogram-guided) biopsy may be the most accurate option
This ensures the highest likelihood of sampling the correct area.

Open Biopsy / Excisional Biopsy

In certain situations, an open biopsy (also called an excisional biopsy) may be recommended.

This may be necessary when:

The area cannot be safely or accurately biopsied with a needle
Imaging guidance is limited or inconclusive
Prior biopsies do not fully explain the imaging findings

During an open biopsy:

The area of concern is surgically removed
Localization (such as a wire or other guidance method) may be used beforehand
The tissue is sent to pathology for full evaluation

This approach allows for definitive diagnosis when less invasive methods are not appropriate.

After the Biopsy: Pathology Results

Tissue samples are examined by a pathologist
Results typically take several days to up to one week
Once available, results are reviewed carefully and discussed with you
Next steps are based on pathology findings and your individual situation

We understand that waiting for results can be stressful, and we prioritize clear communication once the information is available.

Ongoing Care and Follow-Up

If your biopsy is benign, we will guide appropriate follow-up and imaging surveillance.

If cancer is diagnosed, we will walk with you through the next steps and coordinate care seamlessly.

Our practice emphasizes continuity, clarity, and long-term support, regardless of the outcome.

When to Schedule an Evaluation

If you have an abnormal breast imaging result, a breast mass, or have been referred for biopsy, we are happy to review your imaging and help determine the most appropriate and least invasive next step.