Ultrasound-Guided Breast Biopsy

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  • Any suspect new finding or change in follow-up clinical examination or imaging
  • A lesion that is almost certainly benign but is greater than 2 cm, painful, or recurring, or where the mass represents growing cysts or fibroadenomas
  • Solid masses with equivocal clinical or radiologic features, high-risk lesions, or discordant lesions
  • Patient preference
  • If cancer is suspected, do a core biopsy.
  • Locally advanced breast cancer needs core biopsy and chemotherapy up front.
  • Local or general anesthesia and a mix of short- and long-acting local
  • Scalpel or electrocautery
  • Appendicial retractors
  • C-Strang retractor
  • Anatomic positions of various breast abnormalities
  • Subcutaneous anatomy of the breast

Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

  • Use a sports bra to stabilize the breast for at least the first 48 hours.
  • Neurapraxia or neuralgia of the axillary or radial nerve
  • Hematomas
  • Blisters from Steri-Strips (associated scarring)
  • Failure to detect a lesion
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