Fine-needle aspiration biopsy of the breast under ultrasound guidance

Before the procedure, the doctor identifies the lesion using ultrasound and selects the area from which the sample needs to be collected. During the biopsy itself, the ultrasound image helps guide the needle and confirm its position in relation to the area of interest.

A thin needle is used to collect cellular material, which is then sent for cytological examination. In some cases, several aspirations may be needed to obtain a sufficient sample. The extent of the procedure depends on the location and characteristics of the lesion.

If the lesion was detected during a breast ultrasound, the need for a biopsy and the next steps can be discussed during a mammologist consultation. In some cases, a surgeon may also be involved in planning further treatment, particularly if the results of the examinations indicate that a surgical procedure may be necessary.

Fine-needle aspiration biopsy makes it possible to examine individual cells collected from a lesion. The results of the cytological examination can provide additional information about the nature of the cellular changes and, together with ultrasound findings and the clinical examination, help determine the next steps.

However, the result of a fine-needle aspiration biopsy does not always provide a definitive answer. Sometimes, the collected sample may contain too few cells for a complete assessment, or the findings may require further clarification. In such cases, the doctor may recommend repeating the procedure or performing another type of biopsy that allows a larger tissue sample to be obtained.

It is important that cytology results are not assessed in isolation but considered together with breast ultrasound findings, the results of other examinations, and the opinion of a mammologist.

Fine-needle aspiration biopsy usually does not require complex preparation. However, before the procedure, it is important to tell your doctor about any medications you take regularly, especially those that may affect blood clotting. Do not stop prescribed medication on your own – the need for any changes should be determined by your doctor based on your individual situation.

After the procedure, you may experience mild soreness, tenderness, or bruising at the needle insertion site. Further recommendations depend on the specifics of the procedure and your condition. If significant swelling develops, the pain becomes more severe, or you notice any other concerning changes, you should contact your doctor.

Questions about preparation, the procedure itself, and the next steps can be discussed in advance during a mammologist consultation. If a lesion has already been identified, the doctor can also review your [breast ultrasound] results and determine whether fine-needle aspiration biopsy is appropriate and whether any further examinations may be needed.

If you have noticed a lump, received an ultrasound report describing a lesion, or would like to understand what further assessment may be needed, call us at +380 97 312 92 91. A Doctor Sam administrator will advise you on the available appointment options and help determine which specialist you should see first – a mammologist or a surgeon.

Doctor Sam Medical Centre is located at Respublika Park Shopping Mall, 1 Kiltseva Road, Kyiv, near Teremky Metro Station.