Stereotactic Breast Biopsy 

At Wythe County Community Hospital, we offer stereotactic breast biopsy, a minimally invasive procedure that helps diagnose breast abnormalities with precision and confidence.

What Is a Stereotactic Breast Biopsy?

A stereotactic breast biopsy is a procedure used to remove a small sample of breast tissue for testing.

  • Uses mammography imaging to precisely locate abnormal areas in the breast
  • Often recommended when an abnormality is seen on a mammogram but not visible on ultrasound
  • Helps evaluate calcifications or small growths that may require further testing
  • Tissue samples are sent to a pathologist to check for cancer or other conditions
  • Typically performed by a radiologist or surgeon 

What to Expect During the Procedure

This procedure is designed to be safe, accurate, and as comfortable as possible.

  • You will be asked to undress from the waist up and remain awake during the procedure
  • Most patients lie face down on a specialized table with the breast positioned through an opening
  • In some cases, the procedure may be done in a seated position
  • The breast is gently compressed to keep it still for accurate imaging
  • The area is cleaned and numbing medication is applied
  • A very small incision is made, and a needle or vacuum-assisted device is used to collect tissue samples
  • A tiny metal marker clip may be placed to identify the biopsy area if future care is needed
  • The procedure typically takes about 1 hour, with only a few minutes spent collecting the sample

How to Prepare

Your care team will guide you through preparation, but general recommendations include:

  • Share your full medical history with your provider
  • Ask about any medications, including aspirin, supplements, or herbal products
  • Inform your provider if you may be pregnant
  • Avoid using lotion, powder, deodorant, or perfume on your breasts or underarms the day of the procedure

What You May Feel

Most patients tolerate the procedure well.

  • You may feel a brief stinging sensation when numbing medication is given
  • During the biopsy, you may notice light pressure or mild discomfort
  • Lying still for the duration of the procedure may feel uncomfortable for some patients
  • Afterward, the breast may feel sore or tender for a few days

After the Procedure

Recovery is typically simple and does not require stitches.

  • Pressure and ice are applied to reduce bleeding and swelling
  • A bandage or adhesive strips will cover the area
  • You will receive instructions on activity restrictions and pain management
  • Most patients return to normal routines shortly after the procedure

Understanding Your Results

Your provider will discuss your results and next steps with you.

  • A normal result means no signs of cancer were found
  • Some biopsies identify benign (non-cancerous) conditions, which may not require further treatment
  • In certain cases, additional testing or a surgical biopsy may be recommended
  • Results may identify conditions such as:
    • Atypical cell changes
    • Benign growths (such as papillomas or fibroepithelial lesions)
    • Early-stage or pre-cancerous findings

Risks and Safety

Stereotactic breast biopsy is considered a low-risk procedure.

  • Small risk of infection at the biopsy site
  • Bruising is common, though significant bleeding is rare
  • Most patients experience only minor side effects