A multiple microwave-assisted digestion procedure using small PTFE closed vials (6 mL capacity) inserted into conventional microwave digestion vessels has been developed as a fast, efficient and clean methodology for multielemental analysis of human breast biopsies by inductively coupled plasma optical emission spectrometry. This small volume strategy allows drastically diminishing the volume of acid needed for digestion, and in turn, a decrease in sample dilution and an increase in sample throughput is achieved. A 2(IV)(4-1) fractional factorial design was used for screening optimization of four variables that can influence the digestion efficiency: (A) nitric acid volume, (B) pre-digestion step, (C) microwave power, and (D) digestion time. A validation study included linearity, precision, detection and quantification limits. Validation against different biological certified reference materials (CRMs) was also performed. The digestion method is suitable for the determination of Al, Ca, Cu, Fe, K, Mg, Mn, P, S and Zn in small size biological samples such as breast biopsies (<30 mg dry mass). Forty-seven biopsies from 39 women were analyzed: 20 samples from healthy women corresponding to mammoplasties and 27 samples from patients suffering from cancer pathology (19 corresponded to tumour and 8 to adjacent normal tissue). A significant accumulation of Al, Ca, Cu, K, Mg, Mn, P and Zn was found in tumour as compared to healthy tissues. When this comparison is made for tumour and adjacent tissues, a significant accumulation of Al, Mg, P and Zn in tumour tissues was observed. Finally, only Ca significantly accumulates in the adjacent tissues as compared to healthy tissues.