What to expect when you have a breast biopsy

Doctors may also biopsy:

• A new or enlarging mass or lesion that has recently been noticed by you or your doctor, as growth could indicate a concern.
• Clustered calcifications, which can sometimes signal early cancer, though most calcifications are typically due to benign causes.

If an area on your mammogram or ultrasound appears abnormal, the radiologist, in consultation with your primary care physician, may recommend a biopsy. In most cases, you'll schedule the biopsy within a few weeks of your imaging exam.

Here’s how it’s done

One of the most common types of biopsies is a core-needle biopsy, typically performed in a radiology suite or breast surgeon’s office with the help of imaging. Here’s what you can expect:

• If a lesion is found through a mammogram, the biopsy will likely be guided by mammography.
• For concerns found with ultrasound or MRI, those imaging methods will guide the biopsy.
• A physician will use local anesthetic to numb the area before inserting a biopsy device that takes several tissue samples.
• The samples are sent to a lab for evaluation, and a small metal marker is often left behind to mark the site of biopsy.
• The procedure is quick and generally involves minimal bruising, with the numbing being the most uncomfortable part — like dental work.
• You are bandaged, given an ice pack to reduce bruising and sent home within an hour. Results typically arrive within a few days.

“While a biopsy may feel daunting,” says Dr. Sigalove, “our goal is to guide you through this routine procedure and provide clear answers. With the support of your HonorHealth care team, you’re taking an important step in staying proactive about your breast health.”