Breast Cancer Screening and Biopsy — Antalya Patient Information Center
Early detection of breast cancer improves outcomes. Op.Dr.Gökhan ATEŞ provides individualised screening plans, mammography/ultrasound/MRI interpretation with BI-RADS reporting, and — when needed — fine-needle aspiration, core (Tru-cut), stereotactic and vacuum-assisted biopsies, coordinated with radiology and pathology in Antalya.
Why is screening important?
Screening detects early-stage cancers before symptoms develop. Early-stage disease has less invasive treatment options and better outcomes.
Who should be screened and how often?
General approach — individualised by personal risk (family history, genetics, prior biopsies):
- Breast self-awareness after age 20
- Clinical exam every 2–3 years between ages 20–39
- Annual mammography after 40, with ultrasound when needed
- Breast MRI for dense breasts and high-risk patients
- Earlier and more frequent screening for BRCA1/2 carriers and strong family history
When should you be evaluated?
The following require evaluation:
- Palpable lump
- Nipple discharge (especially bloody, unilateral)
- Nipple retraction or skin change (peau d'orange)
- Enlarged axillary lymph node
- New-onset persistent unilateral pain
Imaging methods
Chosen by age, breast tissue and complaint:
- Mammography (2D / 3D tomosynthesis)
- Breast ultrasound (dense breasts, young age, lesion characterisation)
- Breast MRI (high risk, implants, further work-up)
- Axillary ultrasound (nodal assessment)
What does a BI-RADS report mean?
BI-RADS is the standard classification used in radiology reports. General interpretation:
- BI-RADS 1–2: normal or benign, routine follow-up
- BI-RADS 3: probably benign, 6-month interval follow-up
- BI-RADS 4: suspicious, biopsy recommended
- BI-RADS 5: highly suggestive of malignancy, biopsy required
- BI-RADS 6: proven breast cancer
Biopsy methods
Suspicious lesions are diagnosed with tissue sampling:
- Fine-needle aspiration (FNA) — often for lymph nodes
- Core needle (Tru-cut) biopsy — ultrasound-guided tissue sample
- Stereotactic biopsy — for microcalcifications seen on mammography
- Vacuum-assisted biopsy (VABB) — broader sampling
- Excisional biopsy — surgical, only in selected cases
Biopsy process and after
Performed under local anaesthesia in 15–30 minutes. Compression and ice are applied afterwards; bruising and mild tenderness may occur. Results are usually released in 3–7 days and reviewed in a multidisciplinary setting.
Process in Antalya
Op.Dr.Gökhan ATEŞ practises in Muratpaşa, Antalya, welcoming patients from Konyaaltı, Lara, Kepez and abroad. Care is coordinated with radiology, pathology, medical and radiation oncology.
Frequently Asked Questions
Is mammography harmful?+
The radiation dose is low and the screening benefit clearly outweighs the risk. Annual mammography after 40 is a standard recommendation.
Who needs a breast MRI?+
High-risk patients (family history, BRCA carriers), dense breast tissue, implants and further evaluation of suspicious findings.
Does BI-RADS 4 mean cancer?+
No. BI-RADS 4 means suspicious; most turn out to be benign after biopsy. Tissue sampling is required for a definitive diagnosis.
Is biopsy painful?+
It is performed under local anaesthesia; patients usually feel pressure or mild discomfort. Some soreness afterwards is common.
Does biopsy spread cancer?+
No. Current evidence shows that needle biopsy does not cause cancer spread; it is necessary for diagnosis.
When are results available?+
Usually within 3–7 days; hormone receptor and HER2 tests may take a little longer.
Do you accept international patients?+
Yes. Initial consultation via WhatsApp; English, German and Russian are available.
This content is for general information only; diagnosis and treatment require an individual medical evaluation.