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Surgical Specialties

Breast Biopsy and Surgery

Capital Surgeons Group employs breast-conserving surgery and treatment whenever possible. Our surgeons are skilled in the latest techniques, including:

  • Mammotome minimally invasive biopsy (performed in our office)
  • Surgical preparation for MammoSite 5-day breast radiation treatment (performed in our office)
  • In-office diagnostic studies and sonography
  • Sentinel axillary node biopsy
  • Lumpectomies and mastectomies


Mammotome Minimally Invasive Breast Biopsy in Our Offices
Capital Surgeons Group physicians can perform Mammotome biopsies for lumps that would typically require an open surgical biopsy (a trip to the operating room). This biopsy provides results as accurate as an open surgical biopsy, but takes less than an hour and is performed in our special Breast Care Room.

Mammotome biopsy requires only a tiny incision about the size of a pencil eraser and patients can immediately resume most normal activities. Plus, if cancer is detected, the patient is already in the care of a skilled surgeon.

The benefits of Mammotome biopsy include:

  • Continuity of care with a highly skilled surgeon
  • Results equivalent to open biopsy
  • Minimally invasive procedure
  • Small incision leaving a small pencil eraser-size scar
  • Procedure in the calming Breast Care Room of our Central Austin office
  • Takes less than an hour
  • Simplified scheduling and travel
  • Immediate return to most activities



MammoSite 5-Day Radiation Treatment Surgical Preparation in Our Offices
MammoSite is a form of partial breast irradiation that works by delivering radiation from inside the lumpectomy cavity, which is the space that is left after the tumor is removed. The radiation is delivered directly to the tissue surrounding the cavity where the cancer is most likely to recur. Therapy can be completed in 4 to 6 days instead of the traditional 4 to 6 weeks.

The surgeons of Capital Surgeons Group can place the MammoSite in their Austin or Round Rock offices, avoiding another trip to the operating room. A radiation oncologist then performs the therapy on an outpatient basis.


Stereotactic Breast Biopsy and Ultrasound Guided Breast Biopsy
These needle biopsy techniques use either mammography or ultrasonography to identify and biopsy abnormalities that are so small that they cannot be felt. Both are outpatient procedures performed under local anesthesia in which a specific small sample of abnormal tissue can be removed and sent to pathology for evaluation. Some lesions can be biopsied in the office with the use of sonography. Most women can return to normal activities and work by the next day, and pathology results are usually available in twenty-four hours.


Sentinel Node Biopsy
Sentinel node biopsy is a technique in which the "sentinel node," or first node to which a tumor would spread if it were going to spread, can be identified and biopsied. Contrast materials are injected into the breast and the lymph nodes can be "mapped." If a breast tumor is malignant, the sentinel nodes (often 2 to 4) can then be removed from the axilla.

Sentinel node biopsy gives important information regarding possible spread of the tumor and can be very import in helping guide further therapy. Sentinel node biopsy is much less invasive than standard axillary lymph node dissection. It significantly decreases the risk of lymphedema and can often give the same information. All Capital Surgeons Group physicians have received special advanced training in this technique.


Lumpectomies and Mastectomies
Capital Surgeons Group physicians employ breast-conserving surgery whenever possible. We stay on the forefront of breast cancer treatment and surgery so that we can not only present you with the best options for your health, but also minimize the physical and emotional toll of the disease.

Nipple-Sparing Mastectomies: In some cases, our surgeons can perform a mastectomy that spares the nipple. This surgery requires a newer technique that is employed by a limited number of surgeons in the area.


Appropriate Treatment
Not all forms of biopsy, surgery, and treatment are appropriate for all lumps or types of cancer. As with all medical treatment, a patient should discuss options with her doctor and weigh the risks and benefits before making a decision. Capital Surgeons Group physicians want you to understand your options so that you can make an informed decision.


Breast Cancer Community Involvement
CSG surgeons are actively involved in breast cancer organizations including the American Cancer Society, the American Society of Breast Disease, the Breast Cancer Resource Center, and breast cancer survivor and rehabilitation support groups. And every year our surgeons and staff participate in a Capital Surgeons Group team for the Komen Race for the Cure.