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I am scheduling my biopsy. What should I know to ask a breast surgeon? Don't want to be awake during biopsy. Can they see what it is, and just do either Lumpectomy or Masectomy? Hubby not helpful, and no friends in the area....

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Asked by

anonymous

Stage 2B Patient over 7 years
 
  • Sharon Danielson Profile
    anonymous
    Survivor since 2007
    Anonymous, There are decisions to be made from what is found by doing the biopsy. SInce you have not had one, a needle biopsy is not a "for sure" having breast cancer. Needle biopsy's are done awake. As awful as it sounds, it is a quick procedure and many times the doctor doing the biopsy has some information to share. A small area of the breast is numbed, and the needle used to take the sample, doesn't hurt, you just feel pressure. Again.... just because you are having a biopsy, certainly does not mean you have breast cancer. So many of my friends have had biopsy's and of all of them, I am the only one who turned up with breast cancer. Please take one thing at a time. If you have not had a biopsy and actually been told you have breast cancer assume you DON'T until the biopsy results are back. In the world of breast cancer.... there are a lot of testing, and decision making that goes into it even before you have surgery. One step at a time.... You have the biopsy, in about a week, you get the results. Most of the time, there is nothing wrong and you just go on with your life. If you do have breast cancer, you will have a series of testing before you have surgery. After surgery, you will hear about the rest of your treatment. Every woman is treated as an individual. A diagnosis of breast cancer is NOT a death sentence! We, who have had breast cancer, will be your friends, and sisters in this journey. BUT FIRST.... you have to be diagnosed with breast cancer! Hang in there darlin' you may not join our Ya-Ya Sisterhood until you hear those lousy words.... "You have breast cancer...." Here is wishing you WON'T be one of the members! Hugs and caring, Sharon
    over 7 years Flag
    • Dawn Sullivan Profile
      anonymous
      Stage 3A Patient

      Personally I don't trust needle biopsies everyone I have had was WRONG. Make sure they do a frozen section.

      over 7 years Flag
  • Evelyn Heilbrunn Profile
    anonymous
    Survivor since 2012
    Hi there, First, I'm sorry you don't have the support you'd like from your husband. We all understand your fear and anxiety -- just know that there are a bunch of women who are here to give you the support you need. Second, you don't say what kind of biopsy you're having, but I suspect it involves minor surgery. You don't really have to be awake, but you don't need general anesthesia either. What they can do is give you what they call "IV sedation" which really relaxes you. They may also throw some stuff in there so you don't remember the procedure at all. They will definitely make the entire biopsy area numb so you won't feel any pain. the biopsy doesn't take very long -- putting you under general anesthesia would probably take longer! Third, a diagnosis isn't a one-step process. We ALL want to know right away. A breast surgeon will have an idea once he/she sees the lump. But in my experience they don't usually do frozen sections (a quick look by a pathologist) during or immediately after a biopsy. They send the tissue to the pathologist so he/she can look at it carefully and make a proper diagnosis. If it's cancer, the doctor will want to talk to you about what type of cancer it is, along with a number of other things. Most importantly, he/she will discuss options with you. Ultimately it will be your decision, but as long as your doctor is a BOARD CERTIFIED surgeon who likely specializes in breast surgery, he/she will steer you in the right direction. Best of luck to you. Keep us posted!
    over 7 years Comment Flag
  • anonymous Profile
    anonymous
    Survivor since 2012
    I hit send to fast so be sure to read comments too. Hugs to you
    over 7 years Comment Flag
  • anonymous Profile
    anonymous
    Survivor since 2012
    By what you are saying you are having a biopsy is that correct? and if so you should be awake for a biopsy.I was for mine, after that they test what they biopsy to see what the best react net will be. It is called a needle biopsy. After the test results come back you should meet your surgeon to talk. At this point try not to get really upset. The test results could come back very good.
    over 7 years Flag
    • anonymous Profile
      anonymous
      Survivor since 2012

      Sorry r

      over 7 years Flag
    • anonymous Profile
      anonymous
      Survivor since 2012

      Lol I keep sending to soon. I try to go back and change auto correct and it sends instead. Anyway this is the first step so try be calm until you have more info about a week after the biopsy. My hugs to you sister. Please keep me updated on what...

      more

      Lol I keep sending to soon. I try to go back and change auto correct and it sends instead. Anyway this is the first step so try be calm until you have more info about a week after the biopsy. My hugs to you sister. Please keep me updated on what is happening to you.i know we don't personally know each other but I CARE ABOUT YOU.

      over 7 years Flag
  • julie s Profile
    anonymous
    Stage 2A Patient
    I felt a lump in my breast. Went to my pcp... She felt it and sent me out for a mamogram and then ultrasound. Both these tests indicated the need for a biopsy... They could not determine the lumps were cancer from these tests. I went for the core biopsy the following day. It was a little scary because I didn't know what to expect. It wasn't bad at all. They numbed me up good and then took 6 samples (I had what appeared to be two separate lumps, but the MRI determined it to be one bilobular mass). After they take the samples they put in a tiny titanium marker and you're done. They bandage the area, give you a little ice pack and a few instructions and you're on your way. They told me 2-3 days for the results, but the following day my pcp called me in to the office. I knew it was not good news because she would have given me good news over the phone. So I went in and she said "well, I'm not going to beat around the bush... You have breast cancer.". She went on to say that she scheduled me an appointment with a breast surgeon. I met with the bs and she said "so what's it going to be, lumpectomy or masectomy?". REALLY? She's the doctor!! Anyway, I decided to get tested for the BRCA genes as that would have played a role in the route I chose. waiting for results is one of the worst parts of this whole thing! I also met with an oncologist. For many reasons I prefer to go lumpectomy route, but with the size of my tumor (3.5 cm) my breast surgeon said it would leave me "grossly disfigured" ... Not ideal in
    over 7 years Flag
    • julie s Profile
      anonymous
      Stage 2A Patient

      Oops... Wasn't done... Not ideal so Iet with oncologist and he suggested neoadjuvant chemo (chemo before surgery) to shrink tumor to a more operable size. Then surgery and then radiation. Now mind you this is my journey, based on my data. If I...

      more

      Oops... Wasn't done... Not ideal so Iet with oncologist and he suggested neoadjuvant chemo (chemo before surgery) to shrink tumor to a more operable size. Then surgery and then radiation. Now mind you this is my journey, based on my data. If I had tested BRCA positive I would have gone bilateral masectomy and reconstruction. I am 38 and breast conserving is the choice I made for me right now. It sounds like you have a lot of info that you still need to get before you can make these decisions. Keep is posted!

      over 7 years Flag
  • Thumb avatar default
    anonymous
    Stage 2B Patient
    Thank you all for your answers. Breast surgeon appt is in a week and I have been assured that they can put me to sleep for biopsy and if it is cancer followed by an immediate lumpectomy. Will see if the staff at my obgyn told me right. All they said was that the mass was under 1 cm but very irregular and highly suspicious. Guess, I will know more when I talk to Breast Surgeon. Thank you ladies for you answers, sending best wishes and thoughts your way.
    over 7 years Comment Flag
  • julie thomas Profile
    anonymous
    Learning About Breast Cancer
    The biopsy (I had several done) are a piece of cake. No need to be asleep. They gently numb the area and you do not feel anything but you must lay still the entire time as at any time there could be another movement. Again, there is no pain and the biopcy is easy.
    almost 4 years Comment Flag

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