Fluid / few cells are aspirated from the lump with the help of fine needle and are sent for cytology.
Nipple discharge is taken and sent to a cytopathologist for examination to find the cause of nipple discharge.
It is done under Local Anaesthesia with a specialized needle to confirm the diagnosis by taking tissue and sending it for biopsy.
VAB is a newer technique done under local anaesthesia under the guidance of Ultrasound or Steriotactically or under MRI guidance. It is very safe and Minimally Invasive Procedure. The advantages are there are no repeated punctures and can also remove small benign lumps with small scar.
In doubtful cases we also opt for the specimen to be sent for biopsy while the patient is undergoing lumpectomy, under general anaesthesia, to the pathologist. The pathologist gives the report within a short time while the patient is still anaesthetized. If the lump is reported to be cancerous, further surgery has to be done at the same time. It saves a second surgery later in such cases.
It is important to know the receptor status in the specimen sent for biopsy in order to know the prognosis as well as plan for Hormonal and Targeted therapy for the patient. It is usually done at special laboratories along with the histopathology.