{"id":1552,"date":"2025-12-01T10:49:23","date_gmt":"2025-12-01T10:49:23","guid":{"rendered":"https:\/\/digitalviewindia.in\/demo\/websites\/divine_breast\/?page_id=1552"},"modified":"2026-03-07T05:52:30","modified_gmt":"2026-03-07T05:52:30","slug":"vacuum-assisted-breast-biopsy","status":"publish","type":"page","link":"https:\/\/digitalviewindia.in\/demo\/websites\/divine_breast\/vacuum-assisted-breast-biopsy\/","title":{"rendered":"Vacuum Assisted Breast Biopsy"},"content":{"rendered":"

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VACCUM ASSISTED BREAST BIOPSY(VABB)<\/h3>\n

Vaccum assisted breast biopsy (VABB) is a minimally invasive procedure used to remove suspicious area in the breast.It is typically performed when a lump or abnormality is detected on a Mammogram , Ultrasound or MRI.<\/p>\n

KEY FEATURES OF VABB:<\/b>
\n1)Vaccum Technology:<\/b><\/p>\n

A vaccum powered instrument helps to collect multiple tissue samples through a single small incision.<\/p>\n

2)Image Guidance:<\/b><\/p>\n

This procedure is done with the help of imaging to precisely locate the abnormal area, like.<\/p>\n

a)Mammography guidance- Called as Stereotactic VABB<\/p>\n

b)Ultrasound guided VABB<\/p>\n

c)MRI guided VABB<\/p>\n<\/div>\n

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\n3)Minimally Invasive:<\/b><\/p>\n

Unlike surgical biopsy\/ excision biopsy ,VABB does not require stitches and usually leaves minimal or No scar within breast skin.<\/p>\n

4)Local Anesthesia:<\/b><\/p>\n

The area is numbed locally , so patient remains awake but can not feel any pain. No general Anesthesia is needed.<\/p>\n

5)Outpatient procedure:<\/b><\/p>\n

It typically takes about 30-60 minutes and sometimes hardly less than 10 minutes and does not require overnight hospital stay. Patients are normally discharged one hour after the procedure.<\/p>\n

6) Recovery:<\/b><\/p>\n

Has a fast recover time. Patients returns to normal activities in about 24 hrs.<\/p>\n<\/div>\n<\/div>\n

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\nWhy VABB is done?<\/summary>\n
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Diagnostic indication:<\/p>\n

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  • Stereotactic VABB: to determine whether an abnormal area on mammogram is benign or malignant e.g.<\/li>\n
  • Tiny clusters of microcalcifications<\/li>\n
  • A small area of architectural distortion<\/li>\n
  • Asymmetric density on mammogram.<\/li>\n
  • A new small mass or nodule or a newer area of microcalcifications in a previous surgery site<\/li>\n<\/ul>\n

    ULTRASOUND guided VABB:<\/p>\n

    Very small lesions difficult to target with Core needle biopsy<\/p>\n

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    • Discordant pathological \u2013 radiological findings.<\/li>\n
    • Non mass like lesions \/ ductal lesions like suspected ductal carcinoma in situ or suspected lobular carcinoma<\/li>\n
    • Papillary lesions.<\/li>\n<\/ul>\n

      MRI Guided VABB diagnostic indications:<\/h3>\n
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      • Indicated only in MRI visible lesions.<\/li>\n
      • Non mass enhancement visible only on MRI<\/li>\n<\/ul>\n

        Therapeutic Indication of VABB:<\/h3>\n<\/div>\n
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        Refers to situations where it is used not just for diagnosis , but also for treatment, typically for removing benign lumps\/ lesions –like fibroadenoma , Benign phyllodes , Small Papilloma, Complex cyst ,Focal fibrosis ,PASH- Pseudoangiomatous stromal hyperplasia ,Sclerosing adenosis ,Complex sclerosing lesion \/ Radial scar.<\/p>\n<\/details>\n

        \nHow is the VABB Procedure done?<\/summary>\n
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        1. Positioning<\/h3>\n

        Depending on the imaging guidance used, you will be placed:<\/p>\n

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        • Ultrasound-guided: lying on your back or side.<\/li>\n
        • Stereotactic (mammogram-guided): lying face-down on a special table or sitting upright.<\/li>\n
        • MRI-guided: lying face-down in an MRI machine.<\/li>\n<\/ul>\n

          2. Skin cleaning and numbing<\/h3>\n
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          • The skin is cleaned with antiseptic.<\/li>\n
          • The Breast radiologist injects local anesthesia (like lidocaine). Within a few minutes, the area becomes numb\u2014patients usually only feel pressure, not pain.<\/li>\n<\/ul>\n

            3. Small skin incision<\/b><\/p>\n

            A tiny cut (about 2\u20136 mm) is made so the probe can enter. No stitches are usually needed.<\/p>\n

            4. Inserting the VABB probe<\/b><\/p>\n

            A hollow probe (slightly larger than a core needle) is inserted through the incision and positioned exactly at the lesion using imaging. You will feel pressure but not sharp pain.<\/p>\n

            5. Tissue sampling with vacuum suction<\/b><\/p>\n

            This is the main step:<\/p>\n

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            • The vacuum sucks tissue into the probe\u2019s opening.<\/li>\n
            • A rotating cutter inside the probe removes the tissue sample.<\/li>\n
            • Tissue is collected in a chamber\u2014multiple samples with only one insertion.<\/li>\n
            • The doctor may take 8\u201324 samples, depending on the lesion size and type.<\/li>\n<\/ul>\n

              You may hear clicking or suction sounds \u2014 this is normal.<\/p>\n

              6. Clip (marker) placement<\/b><\/p>\n

              A tiny metal clip (usually titanium) is placed at the biopsy site.<\/p>\n

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              • It stays in the breast permanently.<\/li>\n
              • It does not set off metal detectors.<\/li>\n
              • It helps locate the area on future scans or surgery if needed.<\/li>\n<\/ul>\n

                7. Removing the probe and closing the incision<\/b><\/p>\n

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                • The probe is removed.<\/li>\n
                • Pressure is applied for several minutes to stop bleeding.<\/li>\n
                • Steri-strips or a small bandage are applied.<\/li>\n<\/ul>\n

                  No stitches are usually required.<\/p>\n

                  8. Post-procedure care<\/b><\/p>\n