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Core Needle Biopsy

General Information About the Test

Core Needle Biopsy, also known as Tru-Cut or Core Biopsy, is a diagnostic method in which millimetric cylindrical (strip-shaped) pieces of "solid tissue" are taken from suspicious tumors in organs such as breast tissue, prostate, or liver, using a special needle that is thicker than a fine needle, spring-loaded, and has a cutting edge. By providing pathologists not only with cells but also with the surrounding tissue architecture of the tumor and its hormone sensitivity (for receptor tests), it allows for a much more definitive diagnosis.

Test Process and Preparation

Tissue extraction process with a core needle (Tru-Cut).
What is the difference from a fine needle biopsy?

While a fine needle biopsy only extracts "fluid and cells" with a syringe (cytological examination); a core needle biopsy extracts a "tissue block" (histological examination) from the target mass. This reduces the margin of error to near zero.

Is the procedure painful, is anesthesia applied?

Because a thick needle is used, the area where the needle will be inserted is strictly numbed beforehand with local anesthesia (numbing with a needle). The patient does not feel pain during the procedure, only a slight pressure and a clicking sound (the spring mechanism of the device).

Is it performed under ultrasound guidance?

Yes. In the vast majority of cases, the suspicious area is visualized in real-time on an ultrasound screen to ensure the needle is directed precisely at the target mass, thereby avoiding damage to healthy tissues.

The information on this page is for informational purposes only. The results of medical tests must be evaluated by specialist physicians.


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