How is a Positive Needle Localization Biopsy Treated in Patients?

How is a positive needle localization biopsy treated? The treatment is best explained by detailing the procedure and after-care, as each part of the process involves various aspects of the treatment.

One way to diagnose breast cancer early involves the use of biopsy with needle localization. Needle localization breast biopsy is also known by the initialism of NLBB.

The procedure involves placing a needle in the breast to serve as a guide for the surgeon who will be performing the biopsy. The needle may be secured with hook-wire that will then be secured to the skin with tape. A breast biopsy guard may also be placed over the tape and inside clothing to help protect the tape and needle.

It is important before going to this appointment that the patient wear comfortable and loose clothing. Having a few day’s worth ready at home for after the procedure and biopsy surgery is also advisable.

Patients also need to carefully follow instructions from the doctor regarding eating, drinking and the use of medications prior to the needle localization, as well as the biopsy.

Biopsy After Care

Following the biopsy, the area may appear bruised, in colors of black and blue. This is normal and after several days will disappear.

Dressings and a special bra (women) may be applied. They should be removable in approximately two days. Your doctor can give you special instructions and tips for showering and care of the site. Do not remove the dressings or bra unless your physician has told you to do so. Most likely, they will be removed at your follow-up appointment.

Over the counter pain killers may be needed, as may applying ice to the biopsy site. The doctor may prescribe pain medications. If she does not, you can ask for them. If taking an over-the-counter pain medication, it is best to avoid aspirin or anything that contains it as aspirin can act as a blood thinner, which is not something that is desired at this point in healing.

Be sure to carefully follow instructions and report any unusual symptoms or changes, including increased pain, drainage or bleeding.

There will be a follow-up appointment after the biopsy is performed and it is at this time any sutures (stitches) will be removed.

Complications and Risks

The complications and risks involved in needle localization include bleeding, the needle becoming dislodged, allergic reaction and infection.


The answer to the question of “How is a positive needle localization biopsy treated?” is found in each step of the process, from the needle localization procedure through the after care aspect following the biopsy surgery.


Breast Cancer and the Breast Biopsy. Breast Cancer Guide. WebMD. Reviewed by Arnold Wax, MD. 2009.

What to Expect from Your Needle Localization Procedure. York Hospital.