Vacuum-Assisted Breast Biopsy

  18. February 2025

The vacuum-assisted biopsy is a minimally invasive procedure used to extract tissue from the breast. It is commonly performed to examine abnormalities detected during a mammogram or ultrasound in more detail, or to remove benign lumps without surgery. Using a hollow needle, multiple tissue samples are extracted through a single small incision under vacuum suction. The entire procedure is performed under local anesthesia and ultrasound guidance, leaving only a tiny incision that heals almost scar-free.

How Does a Vacuum-Assisted Biopsy Work?
First, a local anesthetic is applied to numb the area around the breast, ensuring that you do not feel any pain during the procedure.
Next, a small incision is made in the breast skin, through which the hollow needle is inserted. Ultrasound guidance is used to ensure precise needle placement. The device then creates a vacuum, which gently draws in the tissue, allowing small pieces to be collected into the needle. This technique enables the collection of multiple samples without requiring additional incisions.

After the procedure, the area is compressed for 10 minutes, and a pressure bandage is applied for 24 hours.

What Happens After the Procedure?
After the biopsy:

  • A pressure bandage is applied for 24 hours.
  • You should avoid strenuous activities for a few days.
  • Keep the biopsy site clean and dry.
  • If needed, over-the-counter pain relievers can be taken, though pain is usually minimal.
  • A follow-up appointment is scheduled within a week to discuss the biopsy results and check the wound healing.

What Are the Advantages of a Vacuum-Assisted Biopsy?

  • Minimally invasive – Only a small incision is needed, which reduces healing time and lowers the risk of complications.
  • Precise tissue sampling – The ability to collect multiple samples increases the likelihood of an accurate diagnosis.
  • Minimal scarring – Since only one small incision is made, scarring is minimal. Fibroadenomas can be removed in an outpatient setting without surgery or general anesthesia.

Are There Any Risks?
As with any medical procedure, a vacuum-assisted biopsy carries some risks, including:

  • Bruising or swelling at the biopsy site (which typically resolves on its own).
  • Mild pain or discomfort, which can be managed with pain relievers.
  • Rare complications such as allergic reactions to anesthesia or infections.

However, this is generally a very low-risk procedure.

If a vacuum-assisted biopsy is recommended for you, we will provide you with detailed information before the procedure, including pre- and post-care instructions and possible risks.

If you have any questions about this technique or need further information, feel free to contact us anytime.

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