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What is the difference between an "open excisional biopsy" and a lumpectomy?

anonymous Profile
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anonymous

Stage 0 Patient over 5 years
 
  • Anne Marie jacintho Profile
    anonymous
    Survivor since 2003
    If you have the open excisional biopsy done in a hospital or same day surgery center that has a in-house pathologist they are able to send the specimen to have it evaluated during your biopsy the surgeon will be able to remove tissue until he/she gets clean margins. I had an open excisional biopsy with clean margins had my path results that same day. Had further surgery only because I chose to have bilateral subcutaneous mastectomies Instead of radiation. Basically lumpectomy is similar to open excisional biopsy the difference is the facility it is done in and if a pathologist is available to read the specimens at time of the procedure. I know of women having lumpectomies and needed further surgery as no pathologist was available at the time of surgery and clean margins where not given when pathologist reviewed the specimen
    over 5 years Comment Flag
  • Thumb avatar default
    anonymous
    Survivor since 2012
    Lumpectomy removes tumor and margins and more than likely sentinel lymph nodes to test for cancer invasion.
    over 5 years Comment Flag
  • Thumb avatar default
    anonymous
    Learning About Breast Cancer
    I had an excisional biopsy 1st and followed up with a lumpectomy 2weeks later.
    over 5 years Comment Flag
  • Leah Fortune Profile
    anonymous
    Stage 4 Patient
    I had an excisional biopsy. It wasn't called open though. The biopsy is going to take out all or part of the lump. They will take the lump and send it to a pathologist, which will run a few tests on it to see if it is cancer, what kind, etc. they would have to go back in usually if it is cancer with a lumpectomy or mastectomy, just depends. With a lumpectomy they will usually take as much needed to get clean margins, all the cancer plus area around it.
    over 5 years Flag
    • anonymous Profile
      anonymous
      Stage 0 Patient

      Thanks for the explanation! My path report on page 1 says procedure was an "open excisional biopsy" and on page 2 it was called a "lumpectomy." I never had a lump, just a "persistent area of diffuse distortion" on mammo, diagnostic mammo and...

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      Thanks for the explanation! My path report on page 1 says procedure was an "open excisional biopsy" and on page 2 it was called a "lumpectomy." I never had a lump, just a "persistent area of diffuse distortion" on mammo, diagnostic mammo and ultrasound. My surgeon told me she excised a golf ball sized piece of tissue; margins clean, and here is my path report: DCIS, one focus of intermediate nuclear grade, and two foci low grade; also foci of atypical lobular hyperplasia. In other words, three different spots in the tissue that was removed. I am told I will not need further surgery, but possible a breast MRI and radiation. Consulting the bs and oncologist on Jan. 3. Thus my journey begins! Thanks to all of you who comment and answer the questions posted by us "newbies"!

      over 5 years Flag
  • Thumb avatar default
    anonymous
    Stage 0 Patient
    Thanks to all who answered! Just diagnosed with DCIS; page 1 of the path calls procedure "open excisional biopsy with needle localization" and page 2 calls the procedure a "lumpectomy." Never had a lump--mammo and ultrasound reported "a diffuse area of persistent distortion." Three spots found in golf ball sized tissue that was removed: 1 intermediate grade and 2 low grade. Also foci of atypical lobular hyperplasia. Clean margins though!! Seeing the surgeon and onco next week to discuss radiation. Thus the journey begins...
    over 5 years Comment Flag

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