5 June 2019

Take 3: When should a breast biopsy be performed?

Clinical Women

Breast biopsies should be performed whenever a mass is detected on an ultrasound, experts say.

Dr Elizabeth Lazarus, a breast radiologist from Spectrum Medical Imaging in Randwick, says to biopsy solid mass found on initial imaging as well as any complex cysts.

“Complex cysts are ones that have thick walls and increased vascularity,” she says.

These biopsies should be performed using a core biopsy needle.

“I would only use a fine needle aspiration (FNA) biopsy to aspirate a cyst which is symptomatic – we do not touch cysts unless they are really painful,” says Dr Lazarus.

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