Does tissue sampling (biopsy) hurt the chest?

No, not usually. The site at which the needle for tissue removal is introduced is locally anesthetized, so that the actual examination process remains painless.

After the procedure, it may occasionally happen that the puncture site is still a bit sore. Sometimes bruises are formed, which can cause problems for a few more days. In comparison, the so-called vacuum biopsy is somewhat more stressful than the punch biopsy because the procedure takes longer and the puncture site is slightly larger. But overall, the whole thing usually runs smoothly.


Do you have your own experiences or a different opinion? Then write a comment (please observe rules).
Comments (30)
core biopsy
30 Tuesday, July 17, 2018 at 00:05
This morning I had needle biopsies on both breasts. Local anesthesia was injected and the three-man team took the time to unpack the instruments. They started on the right breast, made a small incision that I did not feel at all, and pushed the tube with the needle quite hard. I felt the pressure, but no pain. Ultrasound was used to guide the needle to the right place. I could see everything on the monitor, which was a great help for me personally. Although the doctor previously demonstrated the click of the needle, I was still scared but could laugh about it. They took four samples, all painless. A blood vessel was hit and bleeding, but it stopped after a few minutes.
The whole procedure was repeated on the left breast. Although the insertion of the needle tube was painless, the triggering of the needle was a bit stuck. This was worse with every sample. The fourth was pretty painful, but bearable.
Thereafter, a nurse put on pressure bandages, and there was a short conversation with the doctor, setting a date for tomorrow to discuss the results. Then I was allowed to go home.
My breasts were quite painful for a couple of hours, but a normal pain medication eased that well. I can shower in the morning and then remove the bandages. The whole experience was not as bad as it sounds. The pain in my left breast came from the fact that the knot is in a really awkward place - near the chest wall with very little breast tissue around it. Only skin, muscles and bones.
The staff were great. The doctor explained every step and everyone was very friendly. I would not be afraid if I had to go through it again.
vacuum biopsy
29 Friday, July 13, 2018 at 08:13
Christine Körbächer
Because of a conspicuous mammographic finding (IRADS 4) I had a first vacuum biopsy on June 20, 188, which was not painful but psychologically unbearable. I have a very small breast, so that the traditional needle with the suction system could not be used, but the old model, where every single tissue sample is taken manually. Therefore, the procedure took 1 hour. I was not prepared for that. Meanwhile, a total of 12 shots were taken, which also put a lot of mental stress on me. Unfortunately, there was no lime in the samples, so that on 12.7.2018 again a vacuum biopsy was made. This time with newly ordered needle, with the first round lasted just under 5 minutes. But then: again no lime! So a second round for which the radiologist placed a new needle without informing me about it. Only on demand, I learned what he wanted to do there. This time it hurt a lot, but did not want to inject. And again no lime. In the meantime a total of 16 (!) Pictures had been taken. I refused a third round. My treated breast is now twice as big as the other - and it has bled properly at home too. The worst thing, however, is that after 2 vacuum biopsies I'm just as clueless as before and currently do not know what to do now.
vacuum biopsy
28 Monday, June 11, 2018 at 15:48
Just today at noon I was allowed to undergo the vacuum biopsy. Since it came as a surprise, it was only the mammography appointment + ultrasound, I could not deal with it in advance. So I have to say, "Everything's so bad".The doctor and her team were incredibly lovely. She explained everything exactly and constantly asked if I could stand it. The anesthetic injection was noticed briefly, but pain can not be said. Everything went smoothly and yet calmly. Sure, now at home it tweaks something - the wound pain! But also you can not say "pain" yet.
vacuum biopsy
27 Monday, June 4, 2018 at 4:57
On May 23, I had an MRI-controlled vacuum biopsy. I lay motionless in the prone position for 2.5 hours on the table. It did not hurt at all, then did not bleed and did not bruise.
If I read it all this way - collapses, fainting, pain - I know that you should not google before! Only the sensitive ones really write here? But in reality it is chillier than a root canal at the dentist.
So, no fear! A little something has to endure every time.
core biopsy
26 Wednesday, May 16, 2018 at 10:10
I want to take away the fear, too. Punch biopsy is really ok if the doctor (it was at my gynecologist) previously explained everything and the chest is well stunned.
At the same time I did not do mammography but ultrasound. What bothered me most was the idea that he was "burrowing" so deep with his needle in my chest ... And I would have better refrained to watch all this on the ultrasound, because that did not tolerate my circulation;)
There were three die cuts. At the end the assistant held my legs up because of an impending impotence (the biopsy was done lying on my back and lasted about 15 minutes) I would not have wanted it for a long time, but only because of my circulation.
No pain! Also ok afterwards! Have on recommendation a pretty tight sports bra dressed as a pressure bandage and bissl cooled. Findings are yet to come.
But think twice: in the past, this had to be done under general anesthesia and a big cut.
So good that it works!
Vacuum biopsy
25 Friday, April 27, 2018 at 16:25
Had on 24.04.18 a vacuum punch biopsy in the breast center, after the screening (mammography) microcalcium was found, which was conspicuous. I was taken 11 samples. It took forever until the procedure was finished. On the whole, it did not hurt. Only the length of the procedure made it unbearable afterwards. The anesthetic had subsided. But the doctor did not want to inject because he had done it twice already.
I have to say that I have a big, heavy chest. I do not want to have to do it again. I was totally exhausted afterwards and cried snot and water.
Now the stressful time until the result is there. I hope so much that it is not vicious.
Wish all concerned women good luck and staying power.
24 Wednesday, January 31, 2018 at 11:46
On 17.1.2018 I had a punch biopsy in the LKH-West in Graz. The doctors were very nice there. I asked her to talk to me, otherwise I would collapse. It did not hurt me at all. A small puncture - and then everything went well.
It was taken 3 x tissue, which was associated with a small burning. Then I got a pressure bandage and was advised to take care of myself. Which I did.
The breast had only a minimal (o, 5 mm) puncture site. No scratches, no bruising, nothing. As a precaution, I took Arnica D 200.
Well, my fear - and it was big - was completely unfounded. LG Monika
vacuum biopsy
23 Friday, January 19, 2018 at 21:15
Hello everybody,
I had my vacuum biopsy on 17.01.18

I was terrified because I did not know what to expect. The doctors and nurses told me about all the risks, but no one could tell exactly how the biopsy works. Likewise, it was not important to those that I have a very low blood pressure, and this falls in excitement totally in the basement. And that in the breast center. Very unprofessional!

The doctor and nurses in radiology, however, were fantastic!
I was distracted and informed about everything. The biopsy was done lying down (this should vary depending on the practice). Previously, I got a mammogram for better localization. Then I was taken to the couch and made as comfortable and warm as possible. For stunning I got a syringe in the chest, which hurt a lot.

Due to the excitement, the anesthesia only worked very slowly. The doctor waited patiently until I did not feel anything.Then the chest was fixed, I was held tight at the shoulders and then the shot came. I was totally scared, but it did not hurt. I could hardly believe that the needle was already in it. However, I felt a light squeeze in between and a pressure.

Since several tissue samples were taken from a breast in my case (the limestones were very distributed), the entire procedure took about 1.5 hours. In between, I collapsed briefly. Meanwhile, X-raying was done over and over again.
Although at the end the removal was very unpleasant, but ultimately everything was only half as bad as originally thought.

Also, if the "ignorant" staff at the Breast Center said it was not a bad thing at all, and then I could even drive by myself, I would not do it and recommend to everyone, "Let's pick you up!" It's safer. Because the procedure is stressful for body and mind!
Besides, it also does good if a dear person helps you to support your problem a bit and hugs you!
core biopsy
22 Tuesday, January 2, 2018 at 5:11 pm
B. N.
I had five punches in the minutes section in December 2017 - without anesthesia. One hurt more than the other. I thought I would faint.
Unfortunately, 3 out of 5 findings were bad, so after 1 week the operation followed. Currently I am in chemotherapy. Thereafter still radiation and then hormone treatments.
core biopsy
21 Saturday, December 30, 2017 at 08:56
I had a vacuum biopsy on 15.12.17 and it hurt like hell because the doctor started immediately after the injection. In pain, I even collapsed. Unfortunately, I have only my surgery appointment on 15.2. to get.
20 Saturday, December 23rd, 2017 at 23:11
Hello! To all the scaredy rabbits out there!
The biopsy is not bad, even though I bled like a little piglet. My breast is blue, black and purple. This happens when the doctor stabs next to it. Will be operated on January 2. Keep your fingers crossed.
breast biopsy
19 Wednesday, December 20, 2017 at 10:33
I have just come from a punch biopsy. What can I say? For days I almost made myself in the shirt in fear. I got drops from my gynecologist against the fear and took these a few days before. Against the fear, the drops were ok, but the fear itself was completely unnecessary!
The breast is sprayed with ice spray, so you do not feel the puncture of the anesthetic needle. Shortly thereafter, the "punch" is introduced; you do not notice at all.
The only thing you can feel is a small press of the ultrasound machine and then you hear the "shot". The sound of the shot is shown to you before, so as not to be frightened. I let myself be driven crazy by div. Forums. Totally wrong! I can only advise everyone: Let google with the googling - it's been a children's birthday :-)
vacuum biopsy
18 Saturday, December 16, 2017 at 06:14
Helene Steinmann
Yesterday, 15.12.17, had a vacuum biopsy.
Never again!!!! It hurt unbearably.
However, I think that you should not expect any more pain nowadays.
The doctor, however, said he had not known that I was so sensitive to pain ... And I am definitely not! Trust in the doctor is gone ...
I'm very scared
17 Monday, 06 November 2017 07:10
Hello my dears,
I have my first mammogram in 2 weeks. I am very scared of what comes out of it. The worst is the uncertainty! I have some questions and hope you can continue to help me.
How does it work out with mammography and how long does this examination take? Will the biopsy be done immediately afterwards? And how long does it take to know if the tumor is good or bad?
Yes, these were already my questions that concern me at the moment. I wish you all health and a happy life with your loved ones. All the best. Your Sofia
vacuum biopsy
16 Sunday, October 01, 2017 at 14:02
I had no pain during the biopsy ... but since then there has always been a great sense of soreness. If I had been better informed before, I would have opted for the punch biopsy ... but unfortunately one is only smarter afterwards ... in our South Tyrol medical education is very often in short supply ...
vacuum biopsy
15 Wednesday, September 13, 2017 at 18:23
I did a vacuum biopsy last week. It does not hurt at all and afterwards I hardly had any pain.
14 Wednesday, the 23rdAugust 2017 at 15:24
After a few hours, I have to say that the pain has abated to a bearable level, a good droning Tramal, quickly prescribed by my family doctor, was certainly helpful. Amazing but also the effect of Arnica D 200, a short time after the beads, the extreme pain was much better and I finally recovered from the shock. Had I had Arnica with me, it would have gone better ... well, take good care of everything, then nothing can go wrong !!!
13 Wednesday, 23rd of August 2017 at 09:54
I was in great pain as the knot sits directly on the nipple. During the investigation, it was still but then I'm almost twice out of the dagger tilted in pain. I went directly to my family doctor to get me a stronger analgesic. Now I'm waiting for the effect ... Since I had not expected a biopsy, I was alone with the car, the return trip was a gemommestährlich. I'm really angry that one will be released! So I would advise anyone: it can be exaggerated, but go with the accompaniment, let you directly give a painkiller or write something in advance, which can be taken immediately. I just hope it's better tomorrow ... and I'm really angry, because such pain is completely unnecessary. As you know from gastroscopy you can do short-term anesthesia and as you know from OPs, there are good medicines for sore pain afterwards. And then the whole story is really harmless ... because the injury is not that big. And the certainty you get is very valuable. Good luck to everyone here!
12 Thursday, August 10, 2017 at 8:07 pm
Denise Veith
The finding was fortunately good! A fibroma.
It really does not hurt!
11 Wednesday, 09. August 2017 at 18:45
Denise Veith
Yesterday I had a punch biopsy on my left breast. Although I am very sensitive, I never had pain! I also did not notice the anesthetic. Blood collection or vaccination are more unpleasant.
The removal itself can not be felt, the only unpleasant is the "clack" noise when removing.
vacuum biopsy
10 Tuesday the 4th of July 2017 at 21:53
Yesterday I had a vacuum biopsy done in the breast center in Göttingen.
I did not have to take painkillers either before or after, and the only thing I ever noticed was the minimal prick from the anesthetic injection. The doctor and sisters were super nice, have explained everything before, during the procedure and afterwards well and I have noticed absolutely nothing.
You lie on a relatively comfortable platform with a hole in the middle, where the affected breast falls through. As a result, we did not feel the simultaneous mammography as well as we did and I really do not like squeezing.
All in all, that was definitely not an intervention you have to be afraid of. Even after that, I hardly had any pain, even though I drove 700 km home the same day. If you're reading this because you have to undergo a biopsy like this: do not let it drive you crazy, it's really not bad.
9 Thursday, June 01, 2017 at 15:39
Incidentally, I was also in Heidelberg breast center. I also said before that I'm very scared. Maybe then they will pay more attention to patients.
vacuum biopsy
8 Thursday, June 01, 2017 at 15:36
I just came from a vacuum biopsy. I've been given half a foravor because of fears about the horror stories. But it was not that bad. The unpleasant thing was the bruising in mammography. The stun sprays I hardly felt. Now and then a slight pinch. The sister has held my hand. That helped against the fear and explained everything to me. The doctor was also very loving. Not this clearance as usual. I felt well looked after, although I was very afraid before.
Biopsy breast
7 Tuesday, May 16, 2017 at 10:58
Renate F.
Despite anesthesia, the biopsy hurt a lot. I still have pain and a big bruise after 3 weeks. It was anything but pleasant.
core biopsy
6 Monday, February 20, 2017 at 2:48 pm
It is not too bad. I made myself crazy because I've heard from many sides true horror stories. Does not believe that all. The worst part was the fear before.
core biopsy
5 Tuesday, 11th October 2016 at 13:39
A punch biopsy does not have to be painful. It depends on the attending physician. I was in Heidelberg at the breast center.The doctors are very convinced of themselves. It hurt!
core biopsy
4 Tuesday, August 23, 2016 at 19:46
S. S.
I had a punch biopsy in August 2016 and can only tell everyone, do not go crazy. Fear has been with me too. But everyone can calm down. It is not really bad or painful. The syringe in the chest is totally harmless. It's terrible, I know. But only a tiny little short prick and over. The punch biopsy notes zero. Only the sound of the punch when shooting the needle you hear, nothing else. No pain, pulling, tripping or anything else.
Do not worry and do not panic. Also no pain afterwards. It's just a bruise, but that's probably wegzustecken. Really, do not be afraid.
core biopsy
3 Saturday, April 23, 2016 at 5:08 pm
Ina S.
I have rarely experienced such a sharp pain as with the punch biopsy. Thanks to the anesthetic, I did not feel the puncture itself, but the Rausstanzen was a torment (already in the mammogram, I almost fell over) and I am absolutely insensitive to pain.
core biopsy
2 Monday, 18 January 2016 at 12:06
Stage Daniela
I had a punch biopsy in August 2015. I was very bad, out of fear. My husband was there. Otherwise I would probably have turned over.
Then it started. The doctor explained everything to me and showed me the sound of the punch. So I do not scare, because it clicks quite loud.
I got an injection that I did not even feel. Although I am pretty sensitive. A real sissy, frankly. Then she made the small cut, and went to. She took six samples. I did not feel anything. Zero. The whole panic for free. Thank God. The most unpleasant thing about the whole thing was the tight bandage that I had to put on for a few more hours. That at 35 degrees. I got a little bruise. That was it.
The diagnosis was really cancer then. Was operated, then irradiations. But thank goodness I did not need chemo. Not anymore. I was really lucky. Now I have to take Tamoxifen so the shit will not come back.
Painless biopsy?
1 Wednesday, October 14, 2015 at 15:25
frog Princess
At first, I had little pain in my vacuum biopsy, but it has already "teased". As the investigation progressed, it became real pain, perhaps because the machine broke down and it took some time for her to leave. in the end, the pain was so severe that I got a cramp in the throat, shivering and completely exhausted. After that I had severe pain for two days and a plate-sized bruise.