I just received my pathology report today and I am extremely confused, Not with the results but with something the pathologist said, but not sure if what was written was from the surgeon's notes; I had a open surgical biopsy with wire localization, the path report said that "when the wire was touched it fell out" then went on to proceed with the results of the testing of tissue. I am confused, does the wire always go with the tissue to the pathologist or does the surgeon severe the wire and send it along with the tissue. The result was benign, but now I am confused iand upset that if it fell out during the tissue removal, what are the changes that the surgeon did not get the correct tissue sample. I am happy that it was benign, but I can't imagine why we would have to go thru the process of wire localization to inform the surgeon where the calcifications are if when it is touched it falls out. If it is normal to send the wire along with the tissue I'm ok with that, but why would they send it along with the tissue sample. The wire localization procedure was the most difficult part of the process and if it did in fact fall out when the surgeon touched it, why would they proceed with just taking out tissue without fully knowing that they were taking the calcified tissue. Thank you for any advice you can give me. Also, as a follow up, I had my surgery on the 6th and have to wait 20 days to have the sutures removed, is that normal? If the surgeon is going on vacation, why couldn't her nurse remove the stitches. Thank you in advance for any assistance you can provide.
The best wire localizations place the wire just to the edge of the lesion so that the surgeon can dissect down to the wire (not necessarily along the axis of the wire), and know that the entire lesion is included because the wire acts as a border to stop the dissection. This places the wire at the very edge of the tissue sample and it would be expected to fall out when the pathologist examines it. The important part of the report to determine whether the biopsy was accurate is that the pathologist describes the calcifications that prompted the procedure in the first place. Don't know much about stitches.
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