Breast Ultrasound-Guided Core Biopsy or Cyst Aspiration

Abstract

Indications • Abnormal ultrasound with the need for biopsy or aspiration • Palpable mass with the need for biopsy or aspiration-Ultrasound used to increase precision Essential Steps 1. Preoperative time-out and confirmation of surgical site. 2. Prep and drape patient and ultrasound probe. 3. Local anesthesia. 4. Localize mass with ultrasound probe. 5. Advance needle into mass/cyst. 6. Biopsy/aspirate mass. 7. If biopsy: Place clip. 8. Hold pressure over biopsy site. 9. If biopsy: Close skin entry site with Steri-Strips/single interrupted suture. Note These Variations • Core needle biopsy vs. cyst aspiration • Type of biopsy device used • Type of clip placed • Method of skin closure if biopsy performed Complications • Bleeding • Hematoma • Infection • Missed lesion • Pneumothorax (rare) Template Operative Dictation Preoperative Diagnosis Right/left breast mass/ cyst Procedure Right/left breast ultrasound-guided core needle biopsy/cyst aspiration. Placement of clip Postoperative Diagnosis Same Indications This is a ____-year-old female/male with a suspicious breast mass identified by ultrasound/palpation. Biopsy/aspiration of mass was indicated for diagnosis of mass. If palpable mass: Ultrasound was used to increase accuracy. Clip was placed to mark the location of the mass. Description of Procedure The patient was placed supine on the exam room table with the arm raised