Apply pressure to the biopsy site to prevent bleeding
15
Bandage the biopsy site
16
Monitor patient for complications post procedure
17
Send biopsy sample to the laboratory for examination
18
Review biopsy results
19
Approval: Pathologist for biopsy results
20
Communicate biopsy results to the patient and discuss next steps
Patient preparation and positioning
Prepare the patient for the stereotactic breast biopsy procedure. This task involves ensuring the patient's comfort and explaining the procedure to them. It is important to position the patient correctly to ensure accurate imaging and needle placement. Gather any necessary equipment or supplies, such as a gown and drapes.
1
Male
2
Female
3
Non-binary
Localize the target on the imaging system
Use the imaging system to accurately identify and locate the target area for the biopsy. Ensure that the imaging system is properly calibrated and adjusted for optimal visualization. Familiarize yourself with the different features and functions of the imaging system.
1
Mammography
2
Tomosynthesis
3
Ultrasound
1
Zoom
2
Pan
3
Adjust brightness
4
Adjust contrast
5
Measure distances
Acquire scout images for planning
Capture scout images of the breast to aid in planning the biopsy procedure. Use the imaging system to obtain clear and detailed images of the breast. Adjust the imaging settings as necessary to optimize image quality. Make sure to save and label the scout images for future reference.
1
Position the patient
2
Adjust imaging settings
3
Capture scout images
4
Save and label images
Approval: Radiology Consultant for biopsy plan
Will be submitted for approval:
Acquire scout images for planning
Will be submitted
Coordinate the coordinates for needle placement
Determine the precise coordinates for needle placement based on the scout images obtained. Use the imaging system's tools or software to calculate and mark the target coordinates. Double-check the coordinates for accuracy before proceeding with the procedure.
Apply local anesthetic to biopsy site
Administer local anesthesia to the biopsy site to numb the area and minimize pain during the procedure. Prepare the anesthesia according to standard protocols and ensure proper sterile technique. Use a suitable local anesthetic agent and apply it carefully to the biopsy site.
1
Lidocaine
2
Bupivacaine
3
Articaine
Insert the biopsy needle into the breast tissue
Perform the actual insertion of the biopsy needle into the breast tissue. Follow the planned coordinates and use a steady, controlled motion to insert the needle. Monitor the patient's comfort and adjust technique as necessary.
1
Confirm needle position
2
Use local anesthesia
3
Insert needle at the planned coordinates
4
Monitor patient comfort
Capture and review core needle biopsy images
Capture core needle biopsy images using the imaging system to confirm proper needle placement. Adjust the imaging system settings to visualize the biopsy needle and surrounding tissue clearly. Review the captured images to ensure accurate sampling and needle placement.
1
Excellent
2
Good
3
Fair
4
Poor
1
Zoom
2
Brightness adjustment
3
Contrast adjustment
4
Sharpness enhancement
Collect tissue samples
Obtain tissue samples using the biopsy needle. Minimize patient discomfort by using appropriate technique and ensuring proper needle placement. Collect an adequate number of tissue samples for accurate diagnosis and analysis.
1
Formalin fixation
2
Frozen section analysis
3
Cell block preparation
4
Other (specify)
Review pathology with histopathologist
Consult with a histopathologist to review the pathology of the tissue samples. Share and discuss the biopsy findings, including any observed abnormalities or concerning features. Seek expert opinion and guidance regarding further analysis or testing if needed.
Approval: Histopathologist for sample adequacy
Will be submitted for approval:
Capture and review core needle biopsy images
Will be submitted
Mark the biopsy site with a small marker
Place a small marker or clip at the biopsy site to facilitate future identification. Ensure that the marker is securely placed and visible on imaging. Record the marker placement and any relevant details for future reference.
Remove the biopsy needle
Carefully remove the biopsy needle from the breast tissue. Use gentle pressure and an appropriate technique to withdraw the needle. Monitor the patient for any discomfort or bleeding during and after needle removal.
1
Apply pressure at the site
2
Withdraw the needle smoothly
3
Monitor patient for bleeding
Apply pressure to the biopsy site to prevent bleeding
Apply pressure to the biopsy site immediately after needle removal to minimize bleeding. Use sterile gauze or a suitable compress to apply continuous pressure. Monitor the site for any signs of bleeding or hematoma formation.
1
Firm pressure with hand
2
Compression device
3
Other (specify)
Bandage the biopsy site
Apply a sterile bandage or dressing to cover the biopsy site and protect it from contamination. Ensure proper adherence of the bandage and assess the patient's comfort. Provide instructions on maintaining the bandage and proper wound care.
1
Cleanse the site
2
Select appropriate bandage
3
Apply bandage securely
4
Provide patient instructions
Monitor patient for complications post procedure
Observe and monitor the patient for any potential complications after the biopsy procedure. This includes assessing for bleeding, infection, pain, or other adverse reactions. Provide appropriate instructions or interventions based on the patient's condition.
1
Assess for bleeding
2
Monitor vital signs
3
Evaluate pain level
4
Instruct patient on signs of infection
Send biopsy sample to the laboratory for examination
Prepare and send the collected biopsy sample to the laboratory for further examination. Follow proper handling and labeling protocols to ensure accurate sample identification. Complete any necessary documentation or requisition forms.
Review biopsy results
Review the results of the biopsy examination once available. Analyze the pathology report and identify any significant findings or abnormalities. Consider the implications of the results for future management and treatment decisions.
1
Benign
2
Indeterminate
3
Malignant
4
Inconclusive
5
Other (specify)
1
Consult with oncologist
2
Discuss results with patient
3
Schedule follow-up appointments
Approval: Pathologist for biopsy results
Will be submitted for approval:
Review biopsy results
Will be submitted
Communicate biopsy results to the patient and discuss next steps
Communicate the biopsy results to the patient clearly and sensitively. Provide an explanation of the findings, answer any questions they may have, and discuss the recommended next steps for further evaluation or treatment. Offer appropriate support and resources.
