Sterotactic
|
Sample tissue from solid mass or calcium deposits |
10, 11, or 14 gauge needle; several (5-6) samples are removed |
Local |
Larger sample than FNA can lead to more accurate diagnosis; no stitches or internal scar |
Multiple needle insertions; limited sample size may underestimate more serious diagnosis |
Vacuum-Assisted (Mammotome or MIBB)
|
Primarily used for calcifications |
11 or 14 gauge needle. Requires 0.25 inch incision (approx. 0.6 cm); several (8-10) samples are removed |
Local |
Excellent for calcium deposits; removes several large samples with one needle insertion; no stitches; minimal scar |
May be less accurate than surgical biopsy which removes entire lesion; not ideal for hard-to-reach lesions (i.e., near chest wall); operator dependent |
Open Surgical
|
Masses, hard-to-reach lesions, (i.e. near chest wall) multiple lesions; masses with micro-calcifications |
Requires 1.5 to 2 inch incision (approx. 4.0 to 5.0 cm); golf ball size area of tissue or more is removed |
Heavy sedation; sometimes general anesthesia |
Yields largest tissue sample; most accurate method of diagnosis (near 100%) |
Causes permanent scar that may make future mammograms difficult to read; possible breast disfigurement; requires stitches and longer recovery |