A biopsy is the only way to know for sure if a breast change is benign (not cancer) or malignant (cancer).

Types of Biopsies

Fine Needle Aspiration Biopsy (FNAB)
The Rose uses ultrasound when performing an FNAB. It is performed under local anesthetic and requires the use of a needle and syringe to drain the lump. A needle is inserted into the lump and removes a sample of cells that are then examined under a microscope. An FNAB does not require stitches and can usually be performed on an outpatient basis.

Core Needle Biopsy (Tru-cut biopsy)
An ultrasound guided core needle biopsy is performed under local anesthesia. A large needle fitted with a special cutting tip is used. As the needle goes through the skin toward the lump, it collects a core of tissue approximately the size of a pencil head. Patients may experience a slight pressure during core needle biopsy but should not experience any significant pain. Core Needle biopsy may cause some bruising but does not usually leave an external scar or an internal scar that is seen on later mammograms. The Core Needle Biopsy can usually be performed on an outpatient basis.

Stereotactic Breast Biopsy
A Stereotactic Biopsy is performed using a local anesthetic. A small incision is made through which the biopsy needle is inserted. Slight pressure may be felt during this time. To monitor future breast health, the physician may place a tiny marker at the biopsy site for future follow-up. This marker is very small, and will not be felt it once it is placed in the breast. The single incision is closed with a small adhesive bandage. After having the FNAB, Core Biopsy, or Stereotactic Biopsy, patients will usually be able to resume normal activities.