Breast biopsy

Breast biopsy
Intervention
Surgeon doing a surgical breast biopsy
ICD-9-CM	85.11-85.12

Several methods for a breast biopsy now exist. The most appropriate method of biopsy for a patient depends upon a variety of factors, including the size, location, appearance and characteristics of the abnormality.

Fine needle aspiration

Main article: Fine-needle aspiration

Fine needle aspiration (FNA) is a percutaneous ("through the skin") procedure that uses a fine needle and a syringe to sample fluid from a breast cyst or remove clusters of cells from a solid mass.

Vacuum assisted biopsy

Vacuum assisted biopsy is a version of core needle biopsy using a vacuum technique to assist the collection of the tissue sample. The needle normally has a lateral ("from the side") opening and can be rotated allowing multiple samples to be collected through a single skin incision. The Vacuum assisted biopsy procedure is similar to normal core needle biopsy. The vacuum assisted biopsy category also includes automated rotational core devices.^[1]

Direct and frontal biopsy

Recent innovations in tissue acquisition for the human breast have led to the development of unique direct frontal systems. Efficacy is considered optimal if the diagnosis by transcutaneous biopsy is identical to the surgical specimen in case of malignancy or in line with clinical follow-up when benign.

The direct and frontal biopsy systems can even be considered relatively painless. The quality of the sample is sufficient for research on molecular biology.^[2]^[3]^[4]

References

↑ "ADVANCE for Health Information Professionals - Editorial". advanceweb.com.
↑ Cornelis A, Verjans M, Van den Bosch T, Wouters K, Van Robaeys J, Janssens JP (August 2009). "Efficacy and safety of direct and frontal macrobiopsies in breast cancer". Eur. J. Cancer Prev. 18 (4): 280–4. doi:10.1097/CEJ.0b013e328329d885. PMID 19352188.
↑ High-Precision Direct and Frontal Breast Biopsy to Assure Adequate Surgical Margin Interpretation; Jaak Janssens, MD, PhD; Ruediger Schulz-Wendtland, MD, PhD; Luc Rotenberg, MD; John-Paul Bogers, MD, PhD
↑ Goss, Paul E.; Ingle, James N.; Alés-Martínez, José E.; Cheung, Angela M.; Chlebowski, Rowan T.; Wactawski-Wende, Jean; McTiernan, Anne; Robbins, John; Johnson, Karen C.; Martin, Lisa W.; Winquist, Eric; Sarto, Gloria E.; Garber, Judy E.; Fabian, Carol J.; Pujol, Pascal; Maunsell, Elizabeth; Farmer, Patricia; Gelmon, Karen A.; Tu, Dongsheng; Richardson, Harriet (23 June 2011). "Exemestane for Breast-Cancer Prevention in Postmenopausal Women (Breast enlargement with surgery))". New England Journal of Medicine 364 (25): 2381–2391. doi:10.1056/NEJMoa1103507. |access-date= requires |url= (help)

Operations/surgeries and other procedures of the breast (ICD-9-CM V3 85, ICD-10-PCS 0H)

Breast surgery	Breast-conserving surgery Lumpectomy Mastectomy Radical mastectomy Mammoplasty Breast implant Breast reduction plasty Mastopexy Breast reconstruction Breast biopsy Fine-needle aspiration Interventions on the Lactiferous ducts Ductal lavage Ductoscopy Microdochectomy Central duct excision

Breast imaging	Mammography Positron emission mammography Tomosynthesis Xeromammography Galactography Breast MRI Breast ultrasound Automated whole-breast ultrasound Scintimammography Tactile imaging

Other	Breast cancer screening Breast self-examination

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