Puncture fine needle aspiration breast biopsy
NewsPuncture fine Needle aspiration breast biopsy (PTAB) – this is a diagnostic procedure that is performed to obtain tissue elements for the purpose of their subsequent cytological analysis.
- The results of PTAB allow us to judge the nature of the neoplasm in the mammary gland.
Breast puncture, like any invasive intervention, even for diagnostic purposes, has certain contraindications.
- These include: an increase in body temperature; an acute infectious process or an exacerbation of somatic diseases; a violation of blood clotting.
Special preparation of PTAB does not require.
- If possible, for 2-3 days before this diagnostic procedure, refrain from taking anticoagulants, non-steroidal anti-inflammatory drugs (for example, aspirin), be sure to consult with the specialist who prescribed the medicine.
- The day before, you need to take a hygienic shower, paying special attention to the area of the mammary glands, immediately before the procedure, remove the jewelry.
- You do not need to follow a special diet.
- Any changes in the state of health on the eve of the procedure should be notified to the attending physician.
It is undesirable to perform a breast puncture immediately before menstruation and on day 1-4 of the cycle (during menstruation).
- The most favorable period is considered from the 5th to the 14th day of the menstrual cycle.
PTAB is performed on an outpatient basis.
- The procedure is performed with a thin needle of small diameter, which is less painful and safer, especially for women with blood clotting disorders.
- The patient is usually in a lying position on the couch.
- Under the control of ultrasound, the needle is inserted into the formation in the mammary gland, after which the contents are slowly aspirated, which stops immediately after the aspirate appears in the syringe.
The procedure is performed without anesthesia, but less often (with a high pain threshold), surface anesthesia with an anesthetic cream or the introduction of a small amount of an anesthetic drug into the tissue may be required.
Often, patients are afraid of performing a breast puncture, considering the procedure painful.
- However, a fine needle puncture is almost painless, and there is no need for local anesthesia – the patient experiences minor discomfort and unpleasant sensations only at the time of puncture of the gland tissue and when taking the material.
In general, breast puncture is a manipulation that practically does not cause any significant complications.
- Sometimes there are subcutaneous and tissue hematomas, some time remaining local soreness, allergic reactions (if anesthesia was used).
- The procedure is carried out in compliance with all the rules of asepsis and antiseptics, so the inflammatory process is a rare complication.

