Excision Biopsy Gold Coast
Localisation and Excision Biopsy
An excision biopsy is an operation to remove an area of breast tissue, such as a lump or an abnormal area seen on a scan, so that it can be examined by a pathologist. It is used to find out exactly what the area is, including whether it is benign or cancer.
An excision biopsy is usually recommended when a needle biopsy is not possible, when the needle biopsy result is unclear, or when it shows changes that need the whole area to be removed and examined.
If the area cannot be felt, it first needs to be marked so the surgeon can find it precisely. This is called localisation. A common method is wire localisation, where a radiologist uses a mammogram or ultrasound to find the exact position of the area and then places a very fine guide wire into the breast to mark it. Localisation is done before surgery, often on the same day. Other methods use a small marker or seed placed in the breast, which the surgeon detects with a special probe during the operation. The wire or marker is removed together with the breast tissue during surgery.
A localisation and excision biopsy is different from a wide local excision. A wide local excision removes a cancer with a margin of healthy tissue once a diagnosis has already been made. An excision biopsy is a diagnostic operation, used to find out what the area is.
Your questions answered
Frequently Asked Questions About Excision Biopsy
What is an excision biopsy?
An excision biopsy is an operation to remove a lump or an abnormal area of breast tissue so it can be examined by a pathologist. It shows exactly what the area is, including whether it is benign or cancer.
Why would I need an excision biopsy instead of a needle biopsy?
A needle biopsy is usually done first. An excision biopsy may be recommended if a needle biopsy is not possible, if the result is unclear, or if it shows certain changes, such as atypical cells or a papilloma, where the whole area needs to be examined. Dr Gault will explain the reasons for his recommendation.
What is localisation and why is it needed?
Localisation marks the exact position of an area that cannot be felt, so the surgeon can find and remove the right tissue. It is done by a radiologist using a mammogram or ultrasound before your operation.
What happens during wire localisation?
A radiologist numbs the skin with local anaesthetic, then uses a mammogram or ultrasound to guide a very fine wire into the breast so its tip sits in the area to be removed. The wire is taped in place and stays there until your operation, which is often later the same day. It is removed together with the breast tissue during surgery.
Are there alternatives to a wire?
Yes. Some localisation methods use a small marker or seed placed in the breast, sometimes days before surgery, which the surgeon then finds with a special probe. The method used depends on your situation and what is available at the hospital, and Dr Gault will explain which approach applies to you.
Is an excision biopsy the same as a wide local excision?
No. An excision biopsy is a diagnostic operation to find out what an area is. A wide local excision is a treatment operation that removes a known cancer with a margin of healthy tissue around it.
Will I need a general anaesthetic?
An excision biopsy is usually performed under a general anaesthetic and is often done as day surgery. Dr Gault operates at Pindara Private Hospital, Benowa.
When will I get my results?
The tissue is examined by a pathologist, and results usually take several days. Dr Gault will go through your results with you at your follow-up appointment and explain what they mean.
What happens if the result shows cancer?
If the result shows cancer, further treatment will be planned with you. This may include further surgery to make sure there is a clear margin of healthy tissue, and surgery to check the lymph nodes in the armpit. Your care is planned within a multidisciplinary team, and Dr Gault will explain every option.
What are the risks of an excision biopsy?
Like any surgery, an excision biopsy carries risks. These can include infection, bleeding or bruising, a build-up of fluid under the wound, a scar, a change in the shape of the breast and, occasionally, the need for further surgery if the area is not fully removed. There are also risks associated with the anaesthetic. Dr Gault will explain the risks that apply to you before surgery.
What support is available?
Waiting for results can be stressful. You will have access to our breast care nurse, Julie, who can explain each step, answer your questions alongside Dr Gault and connect you with other support services if you need them.
How much does an excision biopsy cost?
Costs vary depending on the procedure, whether localisation is needed, the hospital and your level of health insurance cover. Please contact our rooms on (07) 5539 3999 to discuss the likely costs for your situation. You may also wish to check with your private health fund about your cover and any excess.
How do I book a consultation?
You can book by calling (07) 5539 3999 or by sending a message through the Quick Enquiry form on this page. A referral from your GP or another medical practitioner is needed to claim a Medicare rebate for your consultation. Our rooms are at Suite 11, Pindara Place, 13 Carrara Street, Benowa QLD 4217.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner. The information on this page is general in nature and is not a substitute for individual medical advice.