Breast Biopsy: Open

Published on 31/05/2015 by admin

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Last modified 31/05/2015

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Chapter 232 Breast Biopsy: Open

DESCRIPTION

Open breast biopsy is a technique used to obtain tissue samples for the histologic diagnosis of breast masses.

INDICATIONS

Breast mass or suspicious lesion (palpable; nonpalpable masses may be sampled if image guidance is available).

CONTRAINDICATIONS

Local skin infection, known or suspected allergy to agents used (e.g., latex, iodine). Patients who take blood thinners or aspirin should discontinue them in advance of the procedure.

REQUIRED EQUIPMENT

• Skin preparation materials (alcohol, iodine- or hexachlorophene-based antibacterial solution [e.g., Betadine, Hibiclens])

• Sterile gloves

• 1% lidocaine without epinephrine, 10-cc syringe, 22-gauge needle

• Scalpel (#15 blade) and fine tissue scissors (e.g., Metzenbaum)

• 2-0 or 3-0 absorbable undyed suture on a small to medium tapered needle and 3-0 or 4-0 absorbable undyed suture on a small cutting needle, needle holder, thumb forceps, suture scissors

• Small retractors (e.g., Senn Miller, Ragnell [Army/Navy] or similar) may be useful, especially if an assistant is available

• Electrosurgical generator, hand piece, and return electrode (“ground pad”)

• Sterile gauze pads (2″ × 2″)

• Self-adhesive skin tapes (if desired)

• Self-adhesive bandage

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