Ultrasound-guided breast core-biopsy

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with a history of a nodule in the medial quadrant of the left breast that became palpable and hardened, growing in size in a few months.

Patient Data

Age: 65 years
Gender: Female
Mammography

Mammography

Patient has no previous exam accessible. Mammography images identify an area of focal asymmetry located in the medial quadrant of the left breast. ACR BI-RADS 4C.

Clinical examination and mammography findings referred the patient to biopsy of the left breast.

Ultrasound

Ultrasound-guided breast core-biopsy

This lesion, given its size and palpability, becomes easy to biopsy, virtually eliminating the ultrasound. The technique used in our service is summarised as: skin antisepsis, local block with 10 mL of 1% lidocaine, a small incision with a scalpel 11 (enough to overcome resistance and allow the entry of the needle-core biopsy), guided introduction of the needle core biopsy with the removal of three or four fragments. The needles commonly employed are of 16 or 14 gauge.

Case Discussion

This case was pathologically proven to be an invasive breast ductal carcinoma.

The photos were obtained with patient permission and under the hospital privacy rules. 

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Case information

rID: 18029
Case created: 2nd Jun 2012
Last edited: 20th Aug 2017
System: Breast
Inclusion in quiz mode: Excluded

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