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Challenge number 10.

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So let's look at this breast for a minute.

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So this lady's breast on the diagnostic view,

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so she's not even really under any compression at all.

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It's 3.4 centimeters.

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So this is obviously somebody who we are really not going

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to want to put a needle that has a two centimeter chamber

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and then five millimeters at the other end

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with a sharp tip into her breast

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because she's probably gonna compress to two, two

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and a half centimeters on the compression view.

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So what can we do in this case?

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Well, thin breasts, you try

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and keep the compression down as to be as low as you can,

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but still being able to fixate the breast

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as firmly as possible.

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And there are some ways of helping this.

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You can put um, clear plastic sticky dressings.

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I'm gonna try not to use any trade names here, um, on the

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inside of the paddle and effectively sort of stick the grid

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and the paddle to the patient's breast.

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And we use that um, not infrequently

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'cause it just helps the breast not pull up out

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of our biopsy grid

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and we can use less compression in that case.

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We can use the petite needle as I showed you just now.

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And also, you know, try

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and flat fatten up your breast as much

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as possible with some lidocaine.

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You know, putting 10 Cs

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of lidocaine in can make a real difference.

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So thin breasts with regular needle,

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you may have the make a hole in the other side

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of the breast, which is always a little embarrassing.

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You may take skin out of the, uh, proximal side

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of the breast, so a petite needle, you're going to, um,

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not have either of those problems.