8: Breast Biopsies

Question 1

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Use of a wire (or radioactive seed) to localize an occult abnormality prior to excisional biopsy.

Answer 1

Needle-localized breast biopsy

Question 2

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is lesion visible only on MRI.

Answer 2

MRI-guided needle biopsy

Question 3

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is breast mass or thickening.

Answer 3

Fine-needle aspiration biopsy

Question 4

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is solid or indeterminate lesion seen on US.

Answer 4

Utrasound-guided core-needle biopsy

Question 5

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Large-bore needle used to obtain cores of tissue for histologic examination. US used for localization and targeting.

Answer 5

Ultrasound-guided core-needle biopsy

Question 6

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Large-bore needle used to obtain cores of tissue for histological examination. Mammography used for localization and targeting.

Answer 6

Stereotactic-guided core-needle biopsy

Question 7

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Surgical procedure that requires skin excision.

Answer 7

Excisional breast biopsy

Question 8

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Differentiates solid and cystic masses.

Answer 8

Fine-needle aspiration biopsy

Question 9

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Used for initial diagnosis only when needle biopsy is not feasible.

Answer 9

Excisional breast biopsy

Question 10

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Tissue for cytologic evaluation aspirated with a small needle.

Answer 10

Fine-needle aspiration biopsy

Question 11

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
IV contrast used to localization and targeting.

Answer 11

MRI-guided needle biopsy

Question 12

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Mass is removed with a surrounding margin of normal-appearing tissue.

Answer 12

Excisional breast biopsy

Question 13

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is calcification seen on mammogram.

Answer 13

Stereotactic-guided core-needle biopsy

Question 14

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is mass or calcification seen on imaging in a location that cannot be effectively assessed with core biopsy.

Answer 14

Needle-localized breast biopsy

Question 15

Which type of biopsy: Fine-needle, stereotactic-guided core-needle, US-guided core-needle, MRI-guided needle, excisional breast?
Target is palpable breast mass, thickening, or skin change.

Answer 15

Excisional breast biopsy