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Lester and Sue Smith Breast Center

Houston, Texas

The Lester and Sue Smith Breast Center's mission is to improve prevention, diagnosis and treatment of breast disease.
Lester & Sue Smith Breast Center
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Diagnostic Evaluation

The Lester and Sue Smith Breast Center features the first all-digital mammography facility in the country, augmented by ultrasound and other imaging modalities. Definitive diagnosis of most breast problems can be made with stereotactic or ultrasound-guided needle biopsy - an accurate and less invasive method. All imaging and biopsy services are available on site.

At the center, pathologists with years of clinical and research experience in breast cancer evaluate biopsy specimens and tissues. Their expert findings guide surgical and medical oncologists in making crucial treatment decisions.

Comparing Types of Biopsies

Open Surgical
Needle
Excisional

Single Insertion/
Vacuum Assisted

Core Needle
Fine Needle Aspiration
Description Cut is made in the breast to remove the entire tumor Tissue sample is taken with a needle using gentle suction, which draws, cuts and removes tissue. Tissue sample taken with a needle using a spring-loaded device, which cuts and removed tissue. Tissue sample is taken using a thinner needle than a core needle.
Accuracy Highly accurate Highly accurate Accurate Less accurate
Scarring External scar. Can change the look and feel of the breast. Minimal Minimal Minimal
Anesthesia General (asleep) or local with sedation Local (awake) Local (awake) None

Location where procedure is generally performed

Operating room or outpatient setting Doctor’s office or outpatient setting Doctor’s office or outpatient setting Doctor’s office
Consideration Requires time to heal from surgery. Greater chance for infection and bruising than needle biopsy. May not remove enough tissue for a definite diagnosis.

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