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Need help for further Biopsy
The result of my Core needle biopsy on 12/6/07: Complex sclerosing lesion associated with calcifications; Fibrocystic changes. My breast surgeon said I need Excisional biopsy because of my condition - age 42, my sister had BC when she was 35 (14 yrs ago); My mamography showed microcalsifications of left breast. My breast surgeon also said it's high possibility that the cancer was not captured by my core biopsy. Can someone please share some experience or knowledge with me? Why they (breast surgeon and radiologist) didn't order excisional biopsy at first place, so I don't have to go through core biopsy and waiting time? Thanks.
If your surgeon is now recommending the exisional biopsy it's because he/she is worried about that finding of "complex sclerosing lesion associated with calcifications."
I had something similar recently. My core biopsy reveal atypical ductal hyperplasia. And so, my surgeon recommended the exisional biopsy.
They always start with the core biopsy because that is less invasive then then the exisional biopsy. But when there is a suspicious result from a core biopsy pathology, the the exisional biopsy is the way to get a definitive answer.
Don't worry about the exisional biopsy procedure. It is a bit more involved than the core biopsy (you do have to go to the operating room), but in so many ways it's easier. They put you out, they operate, you're done. Well, except for waiting for the pathology results.
But I'm with you, if I ever have to go through any suspicious finding, again, I'm going to ask to go right for the exisional biopsy.
I had something similar recently. My core biopsy reveal atypical ductal hyperplasia. And so, my surgeon recommended the exisional biopsy.
They always start with the core biopsy because that is less invasive then then the exisional biopsy. But when there is a suspicious result from a core biopsy pathology, the the exisional biopsy is the way to get a definitive answer.
Don't worry about the exisional biopsy procedure. It is a bit more involved than the core biopsy (you do have to go to the operating room), but in so many ways it's easier. They put you out, they operate, you're done. Well, except for waiting for the pathology results.
But I'm with you, if I ever have to go through any suspicious finding, again, I'm going to ask to go right for the exisional biopsy.
MEDICAL PROFESSIONAL
Hi. I have not seen your mammography plates so I cannot tell you if it would have been better if you had undergone an initial excision biopsy instead of a core needle biopsy. This is really a judgment call, and I think your surgeon and radiologist made the best judgment they could at the time.
Excision biopsy is a safe procedure. It merely involves removal of the suspicious area, and will not involve removal of substantial breast tissue. This procedure shouldn't result in a lot of post-operative complications, so don't worry too much about it. My advise is for you to go through it as soon as possible, instead of delaying, so you can also start treatment (if needed) sooner.
Excision biopsy is a safe procedure. It merely involves removal of the suspicious area, and will not involve removal of substantial breast tissue. This procedure shouldn't result in a lot of post-operative complications, so don't worry too much about it. My advise is for you to go through it as soon as possible, instead of delaying, so you can also start treatment (if needed) sooner.
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