Biopsies provide physicians with critical information for an accurate and
A biopsy is performed to evaluate abnormal or questionable findings in
breast images. The breast biopsies performed at Southwest General’s
Breast Center in Cleveland are essential to help physicians accurately
diagnose breast conditions, like breast cancer, and determine the appropriate
course of treatment. Typically, biopsies are ordered after an initial
evaluation, such as a:
- screening mammogram
- diagnostic mammogram
- ultrasound examination of the breast
Biopsies are performed where there is a need for more information to confirm
or rule out the presence of disease including breast cancer.
Biopsies Performed with Skill and Compassion by Cleveland Physicians
When breast biopsies are performed, they are most frequently done in the
outpatient setting, often at our Breast Center, and they use the skills
of radiologists, ultrasonographers, and surgeons. Procedures performed
at Southwest General use the latest imaging technology and include:
Mammogram Guided Needle Placement
Performed in our Breast Center, this procedure is used to identify an
area for surgical removal of a specimen. A very thin wire is used to target
the area of interest identified on the mammogram. Once the area is identified,
the patient is taken to surgery and the specimen is removed and tested
Ultrasound Guided Needle Placement
This procedure also is performed in our Breast Center prior to surgery.
The very thin wire used for identifying a specific area in the breast
is guided into place using ultrasound images. After the area is identified,
a specimen will be surgically removed for further testing.
A stereotactic biopsy is performed when an abnormal area in the breast
is too small to be palpated (felt). The procedure is done in the Breast
Center. The patient is positioned on a table lying face down. The breast
is placed through an opening for access to the area of interest. A core
needle is inserted and a vacuum-assisted device is then used to remove
some of the abnormal cells to determine if the suspected area (lesion)
is benign or cancerous. An estimated six to eight samples will be removed.
Ultrasound Guided Core Biopsy
This procedure is performed when an abnormality appears on an ultrasound
exam of the breast. The ultrasound guided core biopsy is similar to the
stereotactic biopsy. The only difference is that the core needle is guided
by ultrasound and patients lie on their back for the procedure rather
than face down.
Fine Needle Aspiration
Performed using ultrasound for guidance, this procedure is used to remove
fluid filled areas, usually cysts, within the breast. The fluid is collected
and taken to the laboratory to be tested for abnormalities.
We Look Forward To Helping You
If you have any questions about breast biopsy procedures, please call our
breast nurse navigator at