Ultrasound-guided breast core-biopsy

Case contributed by Dr Bruno Di Muzio

Presentation

Referred with 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 exams accessible for comparison. Mammography images identify an area of focal asymmetry located in the internal inferior quadrant of the left breast. ACR BI-RADS 4C.

Ultrasound-guided breast core-biopsy

Ultrasound

Given the lesion size and palpability, it was a straightforward biopsy. The technique used in our service is summarized as: skin antisepsis, local block with 5-10 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 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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