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Outpatient Breast Biopsy

Definitions:

Anesthesia
The loss of feeling or sensation as a result of drugs or gases. "Local" anesthesia numbs only a specified area. "General" anesthesia causes loss of consciousness (puts you to sleep).
Biopsy
A procedure in which tissue samples are removed from the body for examination under a microscope to find out if cancer or other abnormal cells are present.

Goal of Procedure:

  • A breast biopsy is performed when a physician feels a lump and determines that it should be removed and evaluated under a microscope.

Overview of Procedure:

  • The procedure is done in the outpatient surgery clinic (called a treatment room) in the Taubman Center. The surgeon will use a "local anesthetic" to numb the area of your breast that needs to be biopsied.
  • The breast area is cleansed with a disinfectant solution. The surgeon will then make a cut in the skin - an incision - which follows the natural shape of your breast as closely as possible. The lump is then removed and sent to the pathologist. The incision is usually closed with material that is absorbed by your body. Therefore, there is no need to remove stitches or sutures at a later time. A dressing is placed over the biopsy site.

Where to Come for the Procedure:

  • The breast biopsy procedure is performed in the Outpatient Taubman Center on the 2nd level; Area "F". The phone number to the department is (734) 936-5856.
  • You should park in the Taubman Center Patient/Visitor Parking Structure adjacent to the main hospital entrance (not the Cancer Center Parking Structure). Take the elevators in the parking structure to the second floor. Enter the Taubman Center on the second floor. You will see an information desk immediately upon entering. Ask them for directions to the clinic, which is located in "Area F".

Length of Procedure:

  • The entire procedure generally takes one hour. Once the anesthesia has worn off you will be discharged home.

Instructions:

Before the Procedure:

MEDICATIONS: You should avoid taking aspirin containing medications as well as nonsteroidal (anti-inflammatory) medications for one week prior to surgery. Examples of nonsteroidal (anti-inflammatory) medications include Advil©, Motrin©, Aleve© and Nuprin©. Please notify your surgeon prior to surgery if you are taking Coumadin or other blood thinning medications, or are diabetic. You should review all other medications with the preoperative nurse when you call the day before your surgery.

  • Shower or bathe as usual on the day of the biopsy. Do not use any deodorant, powder or lotion on the breast that will be biopsied.
  • You will be given special instructions about eating and drinking before the procedure.
  • You will need to arrange for someone to drive you home after the procedure.
  • You may wish to bring some money with you so that you can fill any medication prescriptions you may receive after surgery.
  • It would be a good idea to wear comfortable clothing and bring a tight fitting, supportive bra to the procedure (even if you don't usually wear one).

After the Procedure:

  • The dressing placed over the incision may be removed the next day. This will be clarified the day of surgery with your discharge papers. While the dressing is in place, it must stay clean and dry.
  • You will be able to return home after the procedure. You should wear a supportive bra after the procedure for comfort. A supportive bra will help minimize pulling on your biopsy site from the weight of your breast. Some women sleep with their bra on the first few nights after a biopsy. Many women return to work and their normal activity the day after surgery. You may need to limit those activities which involve heavy lifting or strenuous arm movements.
  • Generally, showering after the biopsy is OK. If a dressing is placed over the site you should ask your doctor for approval. Women should avoid sitting in water up to the biopsy site (such as a bathtub, swimming pool, hot tub) for 7-10 days after the procedure.
  • The doctor may write a prescription for pain medication for any discomfort you may have.
  • Do not be alarmed if you notice bruising around the area. This is common, and the bruise will fade.

Problems You May Encounter:

Although complications are rare, they can include infection and bleeding and occasionally fluid collection in the biopsy area. You should notify the surgical nurses if you develop:

  • A temperature higher than 101 degrees Fahrenheit
  • Bleeding that will not stop
  • Swelling of the breast
  • Any unusual symptoms that concern you

Who to Call for Questions:

If you have postoperative problems or concerns you should contact the Surgical Oncology Nurses at:

During business hours call (734) 936-7833

After hours (5pm - 8am), weekends and holidays, call (734) 936-6267 and ask the paging operator to have the On Call Surgery Oncology Resident paged.


Results of the Procedure:

The pathology results will be made available to your surgeon within 5-7 business days. You should contact the office of your surgeon to obtain the results.


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Speak with a Cancer nurse: 1-800-865-1125

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University of Michigan Comprehensive Cancer Center
1500 East Medical Center Drive
Ann Arbor, MI 48109

This site is part of the U-M Health System. The information presented is not a tool for self diagnosis or a substitute for professional care. © 2008 U-M Comprehensive Cancer Center