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Breast biopsy How the Test is Performed: There are 2 methods used to obtain the sample. One is a needle biopsy , and the other is called an open biopsy. NEEDLE BIOPSY You undress to the waist and sit or recline. The injection site is cleaned and sterilized, then injected with a local anesthetic. A syringe is then injected into the lesion or lump to be studied. Fluid may be removed first, then a tissue sample is obtained. The fluid is stored in a special tube, and the tissue sample is placed in a specimen bottle with preservative. Once the tissue sample has been taken, the needle is removed and pressure is applied to the site to stop any bleeding . A bandage will be applied to absorb any fluid. OPEN BIOPSY This method is also called a lumpectomy . You undress to the waist and sit or recline. A local or general anesthetic is administered (depending on the size of the mass and your condition), and an incision is made to expose the lump. The entire mass may be removed (if smaller than 2 cm), or part may be excised (removed) if the lump is larger. The tissue may be tested before the entire lump is removed. After the tissue sample is taken, the incision is sutured and a dressing and bandage are applied. If general anesthesia is administered, vital signs (temperature, pulse , rate of breathing, blood pressure ) will be monitored for at least 1 hour after completion of the procedure. Pain medication may be prescribed. How to Prepare: Your medical history will be taken, and a manual breast examination performed. You must sign an informed consent form. For patients requiring general anesthesia, fasting for 8 to 12 hours before the test may be recommended. How it Feels: There may be a sharp, stinging sensation when the anesthetic is administered. During the procedure, there should be no pain and only slight discomfort. After the test, the breast may be sore and tender to the touch for several days. Pain medication will probably be prescribed if an incision is made. Over-the-counter pain medication should be satisfactory for most needle biopsy patients. Risks: There is a slight chance of infection at the injection or incision site. Excessive bleeding is rare, but may require draining or re-bandaging. Why this Test is Performed: A biopsy is the only way to determine if tissue is benign (noncancerous) or malignant (cancerous). Normal Values: There should be no sign of malignancy . The sample may consist of connective tissue, fat lobules, or lactiferous ducts. The sample should appear pink. Abnormal Results: Tumors may be benign , and they can indicate: Tumors may be malignant and they can include: - adenocarcinoma
- colloid carcinoma
- cystosarcoma
- infiltrating carcinoma
- inflammatory carcinoma
- intraductal carcinoma
- lobular carcinoma
- medullary or circumscribed carcinoma
- Paget's disease
- sarcoma
Additional conditions under which the test may be performed: Cost: The estimated cost is $110 to $250 depending on if it is a needle biopsy or an open biopsy and if anesthesia is required. Special Considerations: Most breast lumps consist of fatty tissue and lactiferous (milk) ducts. Tumors are usually detected during a manual examination or mammography test. Another indicator of a malignant tumor is nipple discharge . This illustration shows an anatomical cross-section, both side and front views, of the female breast. A breast self examination should be performed monthly by all adult women. Early detection of breast cancer results in a higher cure rate and survival rate. Increased awareness, routine breast exams, and regular mammograms allow for earlier detection of breast cancer. Increased longevity is just now beginning to show as survival statistics are being compiled.
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