Thanyarak Foundation

• Preparation for breast intervention
• 1. Be on time
  2. Maintain your regular diet
  3. Refrain from taking blood thinner (anticoagulants) at least 72 hours prior to the examination. Please inform your health provider if you are on such medication.
  4. Avoid using deodorant, powder, or other products to the underarm and breast area
  5. Wear separate pieces of clothing (avoid wearing dress.)

• Requirement on the Examination
• 1. Medical referral Request
  2. HIV blood results (only for stereotactic test)
  3. Film / CD / mammogram and ultrasound test results from other hospitals (if any)
  4. Expense Reduction Documents

• Post-procedure instruction
• 1. Apply a cold gel pack to the biopsy site during the first 24 hours.
  2. Keep the lesion dry and covered for 3 days before removing the dressing. Have a re-dressing at near-by hospital should the lesion be wet or bleeding.
  3. Avoid strenuous activities or exercise at least 3 days after the biopsy
  4. Wear a supportive bra either daytime or nighttime at least 3 days.
  5. Paracetamol is permitted to relief pain, if need so.
  6. Bruises can potentially occur and will relieve within 2 – 4 weeks

  Remark: The physician will contact you for the pathology result within 14 days after the biopsy. To check on the status of your result and make an appointment, please contact (+66) 2 411 5657-9 or (+66) 2 412 2652-3 ext. 2. To reschedule or ask for more information, please contact (+66) 2 419 4623 or (+66) 2 411 5657-9 ext. 203.

Intervention Procedures

• Ultrasound-Guided Breast Biopsy
• 1. The nurse/assistant will position the patient lying flat and expose the area to be biopsied, cleaning the skin with a disinfectant solution.
  2. The physician will perform an ultrasound to locate the abnormality, provide local anesthesia, and in-sert the special 1.6 mm diameter biopsy needle to extract a tissue sample. The nurse/assistant will then apply pressure and dress the lesion.
• Stereotactic Breast Biopsy
• 1. The patient lies prone on the examination bed with the affected breast sticking out through the opening.
  2. The radiologist compresses and images the breast similar to mammogram to identify the abnormal area.
  3. Once the radiologist detects the location, the nurse/assistant cleans the skin with a disinfectant so-lution.
  4. The physician performs local anesthesia and uses 1.6 mm biopsy needle to sample the abnormal tissue.
  5. The nurse/assistant applies pressure and dress the small lesion.
• Stereotactic Vacuum-assisted Breast Biopsy
• 1. The patient lies prone on the examination bed with the affected breast sticking out through the opening.
  2. The radiologist compresses and images the breast similar to mammogram to identify the abnormal area.
  3. Once the radiologist detects the location, the nurse/assistant cleans the skin with a disinfectant so-lution.
  4. The physician performs local anesthesia and uses 1.6 mm biopsy needle to sample the abnormal tissue.
  5. The nurse/assistant applies pressure and dress the small lesion.
  6. If a marker clip is placed after biopsy, an additional mammogram may be taken of that breast to con-firm the clip position.