Breast Procedures
Breast Biopsy
Objective
Removal of tissue to determine the nature of a breast lesion:
• When the lesion is not
palpable prior to the biopsy procedure the patient is taken to the radiology
department where hooked needles are inserted into the breast under imaging
techniques to localize the lesion.
• In some facilities a
stereotactic guided needle biopsy may obviate the need for open surgical
biopsy.
A frozen section
can be
performed on the specimen immediately if indicated.
Procedure
1. The incision is generally
made over the lesion. For central lesions, a circumareolar incision may be
employed.
2. The lesion is grasped and
dissected free. The specimen may be sent for a frozen section.
3. After hemostasis is
obtained, a drain may be inserted.
4. Subcuticular tissue is
approximated.
5. Skin is closed with fine
subcuticular suture or fine interrupted skin stitches.
Position
Patient is supine with arm on the affected side extended on an
armboard; the other arm may be tucked in at the patient’s side. Apply
electrosurgical dispersive pad.
Anesthesia
Local or general anesthesia.
Instruments
• Electrosurgical unit
• Basic/Minor procedure
tray
• General set if lesion is
large.
Any questions be sent to drmmkapur@gmail.com
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