Breast biopsy

Breast biopsy

Anesthesia type	Depends on size of lesion, depth of lesion, and amount of tissue to be sampled. Includes local, local with IV sedation, or GA.
Airway	Natural airway, LMA or ETT
Lines and access	PIV 18-20G x 1 if sedation is to be used
Monitors	Standard monitors
Primary anesthetic considerations
Preoperative	Patients with previous history of breast cancer may have had prior lymph node involvement and one arm may be unavailable for lines
Intraoperative
Postoperative	Urine, emesis or stool may be blue for 24-48h if dye is injected
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A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinal lymph node biopsy.

Preoperative management

Patient evaluation

System	Considerations
Neurologic
Cardiovascular
Respiratory
Gastrointestinal
Hematologic
Renal
Endocrine
Other

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications