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Medical Video: Ultrasound-Guided Breast Biopsy
Breast ultrasound is a technique for taking pictures on the screen to determine the condition of tumors and other breast abnormalities. Ultrasound uses high frequency sound waves which will then produce live images of the inside of the breast. Ultrasound is not the same as X-rays and CT scans because ultrasound does not use radiation and is also considered safe for pregnant and breastfeeding women.
In addition to being used to determine the nature of abnormalities in the breast or breast cancer screening, ultrasound can be used to help doctors during surgery and removal of tissue in lumps in the breast. This process is called a guide guided core needle for breast biopsy.
Why should breast ultrasound be done?
An ultrasound will be performed if a patient with breast cancer or a doctor finds an abnormal part of the breast. Breast lumps may be scary. However, according to the Mayo Clinic, about four out of five breast lumps are benign or not cancerous.
Ultrasound and shooting techniques cannot determine whether the abnormal part of the breast is cancer. This diagnosis can only be done by taking a sample from the abnormal part of the breast, and testing it in the laboratory.
Risk of ultrasound in the breast
Because this shooting technique really doesn't use radiation, so breast ultrasound does not pose any risk. Radiation testing is considered unsafe for pregnant women, so the ultrasound method is mostly chosen in breast examinations for women who are pregnant. This test also has the same ultrasound waves as the waves used to monitor fetal development.
How to prepare for ultrasound
Preparation for breast ultrasound is very little because the patient only exposes the breast enough to take pictures. The best way in an ultrasound is to use two pieces of clothing (boss and subordinates, not overalls) and make an appointment for an ultrasound schedule first.
USG is not allowed to use creams, lotions, or cosmetics in the USG breast skin because it can interfere with ultrasound procedures.
How to do breast ultrasound
Before doing an ultrasound, the doctor will examine the breast first. After that the patient will be asked to undress from the waist up and be asked to lie on the ultrasound table.
The doctor will use the gel on the patient's breast. This conductive gel helps to get sound waves through the skin. After that, the doctor will then use a transducer in the breast.
The transducer will send and receive high frequency sound waves so that the waves will bounce off the internal structure of the breast. Then the transducer will record changes in the tone and direction of the wave to create a recording real-time breast on a computer monitor.
When the image has been obtained, the doctor will clean the breast gel and the patient is allowed to wear the clothes again.
Breast ultrasound results
The image of the breast produced by the ultrasound is an image in black and white. If there are growth cysts and tumors, the image that appears will be dark.
If the ultrasound results have a dark part, it does not always mean the patient has breast cancer. Most breast lumps are not cancer. Therefore, further testing is needed to find out whether or not the malignant lump in the breast is malignant.
The following are conditions that can cause benign lumps in the breast:
- Adenofibroma: a benign tumor of breast tissue
- Fibrocystic breast disease that can cause pain and the breast becomes painful due to hormonal changes
- Intraductal papilloma: small in shape and a benign tumor of the milk duct
- Mammary fat necrosis: a lump formed by dead or injured fat tissue.
The results of blurred ultrasound images will be difficult to interpret. The radiologist will review the results of the ultrasound and send them to the doctor.
If the doctor finds an abnormal form of the breast and requires further testing, the doctor will immediately do a biopsy on the patient. The doctor may also use ultrasound using a biopsy needle.
