In breast diseases, biopsy applications are frequently performed in the following cases;
- To clarify the diagnosis and determine the subtypes of cancer in the presence of breast cancer detected by Ultrasonography, Mammography or MRI examinations.
- Again. In cases where it is detected by this method but it is not clear whether it is breast cancer.
- Even though a mass has been previously detected in the breast, the monitored mass grows, changes in shape, or changes in the internal structure of the mass are observed.
- Read More In case a pathology, which was first thought to be a cyst, later changes its character.
Apart from such cases, biopsy may be required in some other medical conditions.
Before Biopsy
strong>Breast biopsy is a situation that creates tension in women before the procedure, but obtaining information about the procedure will reduce the tension before the biopsy procedure and raise the morale of the person. Getting information from your doctor before the breast biopsy will greatly reduce your anxiety. It is preferred that the patient be hungry before the procedure, but it is not required. The medications the patient takes should be evaluated before the procedure (a few days in advance). If blood-thinning medications are used, it would be appropriate to discontinue these medications under the supervision of a doctor or switch to alternative medications.
Fine Needle Biopsy
This biopsy technique is usually used for cystic (cystitis) detected in the breast. It is used to examine lesions (with liquid content) but is not a rule. The needles used are generally very thin, the procedure is performed under ultrasound guidance, so there is no possibility of taking a sample from the wrong tissue. It is a painless procedure and is performed after the breast tissue is anesthetized with local anesthesia. The process is quite short. Since the procedure is performed with very thin needles, there is no scar left after the procedure and no stitches are required. There will be no cosmetic problems. However, sometimes the tissue taken with fine needle biopsies may be insufficient, so a repeat biopsy may be required.
Core (Thick Needle) Biopsy
This biopsy technique is usually used in the breast. It is applied to detected firm mass lesions. It is one of the most frequently used methods, especially for breast masses. Ku Although the needles used are thicker than the needles used in fine needle biopsy, there will be no scar on the skin after the procedure, and stitches will not be required. There will be no cosmetic problems. Thick needle biopsy is also performed under ultrasonography guidance. Therefore, the possibility of taking a sample from the wrong tissue is very low. Usually, pieces are taken from the same area more than once. This will increase the amount of tissue to be sent to the pathology laboratory and make the diagnosis easier and more accurate. The procedure takes longer than a fine needle biopsy. During the procedure, the breast is anesthetized with local anesthesia, so there is no pain.
Vacuum Biopsy
To put it briefly, in the vacuum biopsy technique, breast tissue is removed automatically with a special vacuum device. parts are taken. The pieces taken are larger than the pieces taken with the core biopsy technique. Thus, the diagnosis becomes easier as there are more tissues sent to the pathology laboratory, and the subtypes of the disease are more easily recognized.
The vacuum biopsy technique is essentially no different from the core (thick needle) biopsy technique. In this technique, biopsies are performed from solid masses. They are generally not preferred in liquid-containing (cystic) masses, but it is not a rule. Vacuum biopsy, just like other needle biopsies, is performed under local anesthesia accompanied by ultrasonography. The patient does not feel pain during the procedure. Since the procedure is performed through very small needle holes, there will be no stitches during the procedure, and there will be no cosmetic problems in the breast.
Mammography-Guided Biopsy
All biopsies performed in interventional radiology are imaging. It is carried out accompanied by The most commonly used device is the Ultrasonography device. However, some lesions may not be visible with ultrasonography. There are lesions in the breast that can only be visualized by mammography. For this reason, such lesions are biopsied in the mammography workshop. Fine needles are generally used in mammography-guided biopsy. First, a mammogram is taken on the breast with a localization device attached to the mammography device, and after the location of the lesion in the breast is determined, a fine needle biopsy is performed from this area.
MRI-Guided Breast Biopsy. isi
It has recently come into use in Turkey as well as in the world. With this technique, biopsy of the lesions detected on MRI is performed. For example; It allows biopsy to be performed in areas that cannot be seen with mammography and ultrasonography but are suspicious in breast MRI. As a biopsy technique, it is generally not much different from other biopsy techniques.
After Biopsy
There will generally be no pain after the biopsy. However, in cases of mild pain, painkillers that do not have a blood-thinning effect can be used. After the procedure, patients can return to their daily activities in a short time, and working women can even start working on the same day, except for special circumstances. Complications that may develop during and after the procedure are very rare, and their incidence is significantly reduced with the use of appropriate technique. The most common complication is hematoma (bleeding) in the area where the needle biopsy was performed. It is especially common in people using blood thinners. Therefore, inform your doctor about the medications you use before the procedure. However, this hematoma usually resorbs on its own and is removed by the body without requiring any intervention.
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