Chapter: 4 - Diagnosis
Subchapter: 4 - Biopsy
A biopsy is a diagnostic procedure in which cells are removed from a suspicious area to check for the presence of breast cancer. There are three types of biopsy: fine needle aspiration, core needle biopsy, and surgical biopsy.
Let’s discuss the different types in greater detail.
Fine Needle Aspiration
(FNA)/Fine Needle Aspiration Biopsy (FNABx)
If the lump is easily accessible, or if the doctor suspects that it may be a fluid-filled cystic lump, the doctor may choose to conduct a fine needle aspiration (FNA). During this procedure, the lump should collapse once the fluid inside has been drawn and discarded. Sometimes, an ultrasound is used to help your doctor guide the needle to the exact site. If the lump persists, the radiologist or surgeon will perform a fine needle aspiration biopsy (FNABx), a similar procedure using the needle to obtain cells from the lump for examination.
Core Needle Biopsy
Core needle biopsy is the procedure to remove a small amount of tissue from the breasts with a larger “core” needle. Similar to fine needle aspiration, an ultrasound might be used to help your doctor guide the needle to the exact site. Once removed, the suspicious area tissue will be examined for traces of cancer.
(also known as wide local excision)
During a surgical (or wide local excision) biopsy, the doctor will remove all or part of the lump from the breast as well as a small amount of normal-looking tissue. This procedure is often performed in a hospital with the patient under local anesthesia. If the lump cannot be easily felt, an ultrasound might be used to help guide your doctor to the suspicious area. Once removed, the abnormal tissue will be examined for traces of cancer. The surrounding margin, or small amount of normal–looking tissue, will be examined to determine if the cancer has been completely removed.
Many times after core and surgical biopsies, a marker is placed internally at the biopsy site. This is done so that if further surgery is required, the surgeon can more easily locate the abnormal area.
Asked by anonymousStage 0 Patient
The drains are the worst part. DO NOT LET THEM HANG. My right side was horrible. Soooo much better when they are out. Hang in there. Prayers to you.Comment 1
The drains are the worst part of the process. When you finally get them out you like life is worth living again. Everyone I know hates them.Comment 0
Asked by anonymousStage 2B Patient
My PS said she has not had anyone who has had trouble with pain from expanders. I don't believe her!Comment 0
I have never heard of anyone NOT having pain with expanders. Arrrgh. You will get rid of them and all will be fine. Hang in there.... Take care, SharonComment 0
Asked by anonymousPatient
I had the diep done 7 months ago and had no problems with it, went back to work after six weeks, starting exercising about four months out. I liked not losing the muscle part and would highly recommend the diep.1 comment 0
Hmm I want to know too! I just got a set of prosthetics as the whole thing overwhelmed me...Comment 0
Asked by anonymousLearning About Breast Cancer
My tumor was 2.2cm. The doctor was measuring the tumor that showed on the ultrasound, unfortunately none was swelling. Keep in mind, LOTS of weird looking things gets biopsied and LOTS of those turn out to be benign. Hang in there, try not to worry. Just keep remembering, a ba-zillion lumps...
My tumor was 2.2cm. The doctor was measuring the tumor that showed on the ultrasound, unfortunately none was swelling. Keep in mind, LOTS of weird looking things gets biopsied and LOTS of those turn out to be benign. Hang in there, try not to worry. Just keep remembering, a ba-zillion lumps and bumps gets biopsied just to be on the safe side. Take care and God's blessing's. Sharon
My surgeon removed 5cm (at the largest part) of tissue. The tumor was 1.6 cm. Maybe this will help you put your lump in perspective.1 comment 1
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