Biopsy generally means surgery. It is the removal of a piece of diseased tissue for diagnosis and treatment purposes.
1. A piece of tissue can be taken for diagnostic purposes.
2. Removing tissue from the diseased area for diagnosis or treatment
Open biopsy (may also be marked with a wire)
Needle biopsy (thin needle, thick needle, vacuum biopsies)
3. Removing the diseased organ for therapeutic purposes in a way that preserves the patient's quality of life and eliminates her cosmetic concerns as much as possible
Although these principles are still valid for breast diseases, biopsy
1. Open biopsy performed on directly palpable masses (under general anesthesia or local anesthesia under operating room conditions)
2. Biopsy is performed on non-palpable masses, marking those seen on mammography with mammography guidance, and marking those seen on ultrasonography with a wire under ultrasonography guidance, again under operating room conditions.
3. Fine needle aspiration biopsies
4. “Tru cut” biopsy (by applying a thick needle and vacuum): It is usually applied before treatment planning for palpable or non-palpable masses that can be seen in ultrasonography (such masses are either not palpable because they are deep or unnoticeable because they are below 1 cm).
5. Only in suspicious cases (calcifications) seen on mammography, it can be defined as biopsies performed by the radiology department by council decision with the system called "mammatom".
Evaluation of Triple Test.
“Solid” is an evaluation intended for the masses.
1. General surgeon examination
2. Radiological examination
3. It includes the stages of needle biopsy
. This evaluation requires a joint consultation of the surgeon-radiologist-pathologist trio, considering that mammography cannot provide sufficient information and biopsy may not be diagnostic, especially in women in their 40s. It is generally performed on lesions that are strongly thought to be benign.
However, whichever type of biopsy is decided on, the piece taken must give a complete idea of the whole, leaving no room for doubt. Which type of biopsy will be diagnosed is entirely the responsibility of the general surgeon (surgical oncology specialist), and any involvement The biopsy decision made by the surgical specialist alone and the interventions bypassing the general surgery discipline are not legal and ethical.
The issue that should never be forgotten is that the clinical follow-up should be done by the general surgeon and the appropriate follow-up interval is determined by this general surgeon. In our country, where a misconception such as "if a knife touches it, it spreads" is still widespread, delays in diagnosis can lead to irreparable situations.
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