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Breast lesion biopsy, localisation, and non-surgical treatments play a crucial role in diagnosing and managing breast abnormalities with precision and minimal invasiveness. A breast lesion biopsy is performed to obtain a tissue sample from a suspicious lump or abnormality detected on imaging, such as mammography or ultrasound. The biopsy can be done using different techniques, including fine-needle aspiration (FNA), core needle biopsy (CNB), or vacuum-assisted biopsy (VAB), depending on the size and location of the lesion. These procedures are guided by ultrasound, mammography (stereotactic biopsy), or MRI to ensure accurate sampling while minimising trauma to surrounding tissues. The collected sample is analysed for malignancy, helping determine the need for further treatment.
Localisation techniques are essential for marking non-palpable breast lesions before surgical removal. Wire localisation involves placing a thin wire under image guidance to guide the surgeon precisely to the lesion. Radio-guided occult lesion localisation (ROLL) and magnetic seed localisation provide non-wire options for better patient comfort and surgical precision. These methods ensure the targeted removal of abnormal tissue while preserving healthy breast tissue. For benign breast lumps, non-surgical treatments such as cryoablation or radiofrequency ablation (RFA) offer compelling alternatives to surgery. Cryoablation uses extreme cold to freeze and destroy fibroadenomas or other benign lumps, while RFA employs heat to ablate abnormal cells. These techniques are performed under local anaesthesia, allowing patients to return to normal activities quickly with minimal scarring.
Minimally invasive breast procedures have revolutionised the management of breast conditions, reducing the need for open surgery while ensuring accurate diagnosis and treatment. At Manipal Hospital, Yeshwanthpur, our interventional radiology team provides advanced, image-guided breast interventions with precision and care.
Below are the key procedures under breast lesion biopsy and treatment:
Ultrasound-guided breast Biopsy Uses real-time ultrasound to obtain tissue samples from suspicious breast lumps.
Stereotactic Breast Biopsy – performed using mammographic guidance for lesions not visible on ultrasound.
MRI-guided breast Biopsy – Ideal for detecting and sampling abnormalities seen only on MRI scans.
Wire and Radio-Guided Localisation – Techniques to mark non-palpable lesions before surgical removal.
Cryoablation for Benign Lumps – Freezing technique to destroy fibroadenomas without surgery.
Radiofrequency Ablation (RFA) – Uses heat energy to treat benign breast tumours with minimal scarring.
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