Cyst aspiration is done under local anesthesia with ultrasound for guidance. The radiologist will numb the area and, using ultrasound for guidance, insert a small needle into the cyst to drain it. The fluid is sent to pathology if it is bloody, brown, or green. If the fluid is clear or straw colored, it is usually discarded.
Ultrasound Guided Biopsy:
Done under local anesthesia with ultrasound for guidance, the radiologist will numb the area and insert a needle into the area of concern, using ultrasound to direct these efforts. The needle has suction attached to it to make the process easier. The extracted tissue samples will be sent to pathology and the radiologist or healthcare provider will contact the patient with the results.
For this type of biopsy, the patient is positioned with her breast through an opening in the machine. The breast is compressed, as with a mammogram machine, and a series of pictures is taken to determine exactly how deep the area of concern is in the breast. Next, a local anesthesia is injected and a small (1/8 inch) incision is made. A needle is inserted to biopsy the tissue, and several tissue samples may be taken. A biopsy clip will be placed at the biopsy site. A post-procedure mammogram will usually be obtained. The tissue samples are sent to pathology and the radiologist or healthcare provider will contact the patient with the results.
This type of biopsy is performed by a breast surgeon. The patient is taken to the operating room and put under a heavier sedation. Generally, a needle is placed in the area of concern prior to the biopsy to guide the surgeon to the exact point. The tissue to be biopsied will be removed and sutures placed. The tissue will be sent to pathology, and the breast surgeon will contact the patient with the results.