A female patient is scheduled for a stereotactic needle biopsy of a left breast lesion. Instructions regarding this diagnostic test should include:
1. This is a three-dimensional mammogram in which a fine needle aspirate of the mass is taken while lying on the stomach.
2. The entire lesion is removed along with some of the surrounding tissue.
3. This is the gold standard for diagnosis in which a small cut is made in the breast under intravenous sedation.
4. A needle will be inserted into the lesion, guided by an ultrasound, and the contents aspirated.
This is a three-dimensional mammogram in which a fine needle aspirate of the mass is taken while lying on the stomach.
Rationale: A stereotactic needle biopsy is a three-dimensional mammography in which the patient lies on the stomach and a fine needle is used to aspirate the mass. An excisional biopsy is done when complete removal of the abnormality and some surrounding tissue is planned. An open surgical incisional biopsy is the gold standard in which less than a 2-inch incision is made into the breast under local anesthesia or intravenous sedation. A fine needle aspiration is where a fine needle is inserted into the lesion, guided by ultrasound, and the contents are removed.
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