Stereotactic Image-Guided Breast Biopsy

Image-Guided Core Needle Breast Tissue Sample

If a mammogram or ultrasound finds an abnormal lump or tumor in your breast, our radiologist may recommend a stereotactic image-guided breast biopsy to exam the breast tissue for cancer cells. This minimally invasive test uses a hollow needle to pass through the breast to the site of the lump. In order to pinpoint the lump, the radiologist will use ultrasound or magnetic resonance imaging (MRI) to guide the hollow needle to the exact location. This test is performed either lying on your stomach using a special table to stabilize your breast, or seated.

Before performing the biopsy, your breast will be numbed and cleaned. The doctor will collect several samples during the procedure and leave behind a small clip so the spot can be easily located if the lump proves to be cancerous. The small clip also marks the area to ensure there are no changes in the tissue at your next mammogram.

This procedure may be performed if:

• A mammogram shows an abnormal mass that cannot be felt on breast examination or an abnormal cluster of small calcium deposits.
• The breast tissue is distorted in the mammogram and ultrasound.
• A new mass is present at a previous surgery site.

Comprehensive Services for Breast Health

Penn State Health offers a full spectrum of imaging and treatments, including stereotactic image-guided breast biopsy, to help detect breast cancer early – when it is most treatable. If you need additional testing or treatment, we offer:

• Same-day results for screening exams – you may wait to see if your screening exam shows any abnormalities and schedule additional tests if necessary.
• Automated whole breast ultrasound (ABUS) – a screening breast ultrasound used for women with dense breast tissue and at high risk for breast cancer.
• Breast MRI – used to identify and stage breast cancer and other breast diseases. This is also a valuable screening tool for women at high risk for breast cancer.
• On-site radiologists for consultation – our radiologists are available to discuss any abnormal results.

Advanced Surgical Care

If surgery is necessary to remove a benign or cancerous tumor, our goal is to conserve breast tissue. Our breast surgeons are skilled in the latest minimally invasive techniques, including:

• Wireless localization using SAVI SCOUT technology – a surgical guidance system that uses no radiation or wires. It precisely targets the tumor for a lumpectomy or biopsy.
• Sentinel node biopsies – a minimally invasive technique for removing lymph nodes.
• Cryoablation – uses cold therapy to destroy cancer cells and close the blood vessels feeding the tumor.
• Skin and nipple-sparing mastectomies – when all breast tissue must be removed, we provide comprehensive breast reconstruction that can preserve your skin and nipple.

Our breast imaging center is in the same location as the breast surgery clinic for convenient, compassionate care.

Why Choose Penn State Health for Care

Nationally Recognized Radiology and Imaging Expertise

Penn State Health is dedicated to providing exceptional care. We consistently meet or exceed stringent national guidelines for patient care quality. That means you can get leading-edge care from a team you trust. Our quality recognitions include:

• Breast Imaging Center of Excellence designation by the American College of Radiology
• Recognition as a National Accreditation Program for Breast Centers and Food and Drug Administration approval

Expert, Team-Based Care Designed for You

All our radiologists are board-certified and fellowship-trained in a range of radiology specialties. Our team also includes registered radiology technologists, many of whom have advanced certifications, radiology assistants, nurses and sonographers. As a member of the Image Gently initiative, we’re committed to using the lowest level of radiation possible.

We also work closely with specialists in a wide range of specialties, including primary care, cancer, general surgery and more. We work as a team to provide complete care and personal attention.

Support Groups

Support groups provide an opportunity to share your feelings and connect with other patients and caregivers who are experiencing similar struggles.

Learn more about support groups offered