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Excisional biopsy
Hi. I'm scheduled for an excisional biopsy this week.  I have had a fine needle biopsy and the pathology showed a proliferative lesion.  The report recommends either a stereo biopsy or conservative excisional biopsy.  The doctor explained that it doesn't not appear cancerous, but recommends an excisional biopsy so that I don't have to keep having additional testing or worry about this area.  I'm already freaking out about doing this.  I know that there are women going through far worse and here I am stressing about this, but I am.  I'm already a really anxious person and am stressing if I am selecting the right surgeon, if this is really necessary compared to the risks, etc.  I've done a lot of reading but am not finding as much information to feel like I'm informed.  Please share experiences.  Thanks.
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684030 tn?1415615923
Well... if you want to know the nature of the lesion, only a pathology finding from a biopsy could tell you that. So, in that sense, a biopsy is necessary.
I've had both surgical/ excisional and stereotactic/ needle biopsies. So, I could tell you about both... but since you ask about the surgical procedure, I can honestly say that mine wasn't nearly as bad as I had expected.

I was fully sedated for the duration of the procedure, which lasted about a half an hour. Soon after I awoke, I was off on my way along with instructions to follow and a prescription for Vicodin. I was left with an overall groggy feeling for the remainder of the day due to the after effects of the sedative. Anyway, I didn't need to use the Vicodin script. Pain thresholds and discomfort levels vary and, my pain was rather minimal. On a scale of 1-10, I’d say that my pain level was probably at a 4. If anything, I felt more soreness and sensitivity than true pain... but, that was easily managed with extra-strength Tylenol. Ice packs worked wonders for reducing the swelling and overall achyness. And, there was a significant amount of bruising... it was kinda scary to look at. But, it didn’t take long for the bruising to disappear along with the swelling and achy feeling. As a precautionary measure, I was instructed to avoid heavy lifting and getting into hot tubs. Sleeping, I'd say, presented the major challenge as I'm unaccustomed to sleeping on my back... but, I somehow managed it.
Complete healing took a couple of weeks. And, I was left with a fine, inch and a half, hairline scar... which is now, very faint and barely visible.

All in all, I would say that the toughest part of the entire ordeal was the waiting period to hear the pathology results. I received mine in about 3 days and thankfully, it returned with benign findings... as I'm hoping that yours will. Take care... good luck with the biopsy and if you want more input/ advice or just need some emotional support with this, please feel free to PM me.

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684030 tn?1415615923
correction: the procedure lasted approximately 1 and a half hours. Total time in the out-patient facility (arrival 'til departure)... about 4 hours.
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