Chapter 232 Breast Biopsy: Open
DESCRIPTION
Open breast biopsy is a technique used to obtain tissue samples for the histologic diagnosis of breast masses.
INDICATIONS
Breast mass or suspicious lesion (palpable; nonpalpable masses may be sampled if image guidance is available).
CONTRAINDICATIONS
Local skin infection, known or suspected allergy to agents used (e.g., latex, iodine). Patients who take blood thinners or aspirin should discontinue them in advance of the procedure.
REQUIRED EQUIPMENT
• Skin preparation materials (alcohol, iodine- or hexachlorophene-based antibacterial solution [e.g., Betadine, Hibiclens])
• 2-0 or 3-0 absorbable undyed suture on a small to medium tapered needle and 3-0 or 4-0 absorbable undyed suture on a small cutting needle, needle holder, thumb forceps, suture scissors
• Small retractors (e.g., Senn Miller, Ragnell [Army/Navy] or similar) may be useful, especially if an assistant is available

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