Oklahoma Breast Care Center

More information on Breast Biopsies...
Biopsies are performed at the Oklahoma Breast Care Center under local anesthesia. There are no stitches, no scarring, and it’s relatively painless. A doctor's order may be reuqired for a procedure, please inquire when scheduling your appointment. Following are descriptions of both stereotactic and ultrasound guided biopsy procedures.

Minimally Invasive Stereotactic Biopsy
During the stereotactic biopsy, you will be lying on your stomach with your breast through an opening in the table. Your breast will be compressed, as in a mammogram, and you will be asked not to move during this time. X-rays will be taken of your breast to locate the area to be biopsied. A small area of your breast will be cleaned. Your doctor will then numb the biopsy area before inserting the probe.

A small incision is then made in the breast, through which a biopsy probe is placed to remove a tissue sample. After obtaining the sample, final x-rays may be taken to ensure the lesion was sufficiently biopsied.

Minimally Invasive Ultrasound Guided Biopsy
During the ultrasound guided biopsy, you will be lying on your back with your arm above your head. Your breast will be scanned via ultrasound to determine the location and best approach to the lesion. Your skin is then marked to indicate the entrance point for the biopsy probe. A small area of your breast will be cleaned. Your doctor will then numb the biopsy area before inserting the probe.

A small incision is then made in the breast, through which a biopsy probe is placed to remove a tissue sample. A post-biopsy scan is taken to ensure that the lesion was sufficiently biopsied.

Instructions Prior to your Breast Biopsy
1.	Please make sure you do not take any aspirin or ibuprofen products at least 7 days prior to your biopsy. Blood thinning (anti-coagulants) and herbal blood thinning medications need to be stopped 7 days prior to biopsy. If you have any questions about your medications containing aspirin products please call your pharmacy.
2.	If you have had your mammogram and/or ultrasound done at another facility please contact them to request these records. It is important for us to have your records and films at the time of your procedure. If we do not have these it may be necessary to repeat these exams and/or cancel your biopsy.
3.	If preparing for a Stereotactic Biopsy: Please wear a comfortable two-piece outfit and no body powder or lotion on the breast area. You will need to wear a supportive bra immediately after your biopsy (please bring or wear one) and for 3 days and 3 nights following the procedure. This will be discussed with you on an individual basis. For other biopsy procedures there are no specific special instructions.
4.	A small breast biopsy marker will be placed into the breast by the doctor performing the biopsy. The clip will be made of titanium or ceramic composite material and is approximately 3 mm in size. The marker clip may be placed where the lesion was located to ensure that the site can be easily located for additional follow-up as needed.
5.	Patients with implants: Every effort is made to avoid damage/rupture to the implant; however, there does remain a very slight risk of this unexpected complication.
6.	We will need a list of any medications you are presently taking and any drug allergies.
7.	The procedure takes approximately 1/2 hour. However, please plan to be at our center for approximately 1 1/2 hours to include paperwork and post care instructions.
8.	You may return to work today, although strenuous activities and lifting greater than 20 lbs is prohibited for 24 hours.
9.	A six hour ice pack treatment is also required immediately following the biopsy. We provide re-usable ice packs as needed that are small enough to fit in your bra.
10.	Complete instructions will be given to you following your procedure.
11.	We will receive your biopsy results in about 36 hours. We will notify you and fax the pathology results to your physician.
If you have any more questions, please do not hesitate to call (405) 755-2273.

1.	Place a cold pack in your bra on top of the bandage for 6 hours, alternating 20 minutes on and 20 minutes off.
2.	Ice packs are reusable; however, re-chill them only in the refrigerator NOT the FREEZER.
3.	Please wear a supportive bra for at least 5 days and 3 nights. This may not be necessary in all cases.
4.	DO NOT participate in strenuous activities or heavy lifting for 24 hours.
5.	DO NOT get biopsy area wet for 48 hours.
6.	*CAREFULLY* remove the plastic covering and gauze pad after 2 days unless irritation occurs before that time. Dampen skin to loosen edges first.
7.	*DO NOT REMOVE STERI-STRIPS.* They should fall off on their own in 5 to 7 days. Clip ends off as they loosen. Use extra strips, if needed, to keep incision closed while it heals. If area is irritated, red or itchy; or if wound is open-please call our office for instructions.
8.	Please do not swim (pool, hot tub or lake water) for 5 days.
9.	You may experience mild discomfort. If you need to take something for discomfort, use Tylenol. Do not take aspirin, aspirin products, blood thinners, or ibuprofen for at least 48 hours.
10.	Bruising is normal and may last 1 to 8 weeks. Clear to red tinged oozing is normal and may also occur.* If wound is not healing properly or still oozing after 2 weeks, please call us.*
11.	If your breast becomes red, swollen, hot or you experience heavy bleeding or increased pain, contact our office at (405) 755-2273. If an emergency occurs after hours, please page the doctor that performed your biopsy: Dr. Archer, (405) 327-0664; Dr. Deupree, (405) 904-0876 or our Medical Director, Dr. Killebrew, at (405) 575-1808.
12.	We will receive your pathology results in about 36 hours. We will fax the results to your physician and you will be notified.
13.	If your biopsy results are benign (not cancer), we will need to see you back in six months for a routine follow-up study.
14.	If an office visit is needed, no additional charges are billed. This is included in your biopsy procedure.

1.	Place a cold pack in your bra on top of the bandage for 6 hours, alternating 20 minutes on and 20 minutes off.
2.	Ice packs are reusable; however, re-chill them only in the refrigerator NOT the FREEZER.
3.	DO NOT participate in strenuous activities or heavy lifting for 24 hours.
4.	DO NOT get biopsy area wet for 24 hours.
5.	Please do not swim (pool, hot tub or lake water) for 5 days.
6.	You may carefully* remove the plastic covering and gauze pad after 1 day unless irritation occurs before that time.*
7.	Leave steri-strips on until they fall off on their own or unless irritation occurs. Clip ends as they loosen.
8.	You may experience mild discomfort. If you need to take something for discomfort, use Tylenol. Do not take aspirin, aspirin products, blood thinners, or Ibuprofen for at least 48 hours.
9.	Bruising is normal and may last 1 to 2 weeks. Clear to red tinged oozing may also occur.
10.	If your breast becomes red, swollen hot or you experience heavy bleeding or increased pain, contact our office at (405) 755-2273. If an emergency occurs after hours, please page the doctor that performed your biopsy: Dr. Archer, 9405) 327-0664; Dr. Deupree, (405) 904-0876 or our Medical Director, Dr. Killebrew, at (405) 575-1808.
11.	We will receive your pathology results in about 36 hours. We will fax the results to your physician and you will be notified.
12.	If your biopsy results are benign (not cancer), we will need to see you back in six months for a routine follow-up study.