Doctor insights on:
Cold Knife Cone Biopsy
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
Not if done right: Lungs have very few nerve endings within the lung. If done by a skilled doctor biopsy thru the skin (ie guide by a scanner) can cause pressure and a feeling of fullness but minimal pain. The level of discomfort relates to how accessible the nodule or mass is for the biopsy needle. ...Read more
Excisional: Excisional biopsy is more accurate for diagnosis of lymphoma, because the samples are much larger. Fine needle aspiration (fna) can make the diagnosis, and is much less invasive - however, the sample is much smaller, and can miss the involved portion of the lymph node. ...Read moreSee 1 more doctor answer
DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?
Have had 3 vulvar biopsies, 1st time was punch biopsy the others were not (special tool to carve out biopsy freehand + stitches) what's thedifference?
Size and location...: A punch for doing punch biopsies has a round cutting surface. They come in different sizes from 1mm to 6mm and up. Its a quick way to take a vulvar biopsy. But your doc can also use a scalpel or a pair of scissors to take a biopsy. It really depends where the problem is and what is best for the circumstances. A scalpel and stitches is usually used for larger biopsies. Best wishes! ...Read more
Clnscopy1. One 20mm Sessile Tubvillous adenoma removed w/saline injection/hot snare. Repeat 1 year
2nd Clnscopy 10mm sesile Tubular adenoma at previous site Removed piecemeal w/ jumbo cold forceps.ArgonPC performed .When should I repeat Clnscpy?
1 to 2 years: no right answer here but would repeat in 1 to 2 years to be safe ...Read more
See answer: Thoracocentesis is the procedure where a needle is used to “draw off / sample” fluid from the chest pleural space – for either diagnostic (fluid sent for cytology, culture, etc.) or therapeutic purposes (too much fluid causing compression). Ct biopsy is the procedure where a needle actually biopsies a specific organ to evaluate the target tissue. ...Read more
DCIS calcifications ,biopsy itself removed all bad cells, lumpectomy pathology that followed 100% cancer free, radiation to aggressive?44 yr old.
Depends: Two important other pieces of information are what the "grade" of the DCIS was which implies how aggressive it might be, and how much normal tissue was between the edge of what was removed and the DCIS. Both of these are taken into consideration when evaluating the role of radiation therapy for DCIS. Talk to your oncologist, your surgeon, and your radiation oncologist for more details. ...Read more
Wire exc biopsy shows invasive insitu lob carcinoma, sbr grade 2, 8mm stage 1b, favorable margins except anterior margin of 1.5mm, mastecto or radiatio?
A piece of cervix: If you have to have a cone biopsy, it is usually done by the leep method and usually in the office.Rarely it is done in the hospital. I do 99% of mine in office. A piece of cervix is removed and sent to the pathology doctor so he can see whether you just have pre cancer or cancer rarley it is done with a knife and sttiches. In most cases the problem is removed, but you will need more monitoring. ...Read more
If a biopsied 1.7 x 1.2 x 1.0 CM isoechoic nodule (nonspecific) turns out cancerous, wouldn't the biopsy itself break the enclosure and spread cancer?
No: Biopsies are performed by either fine needle aspiration FNA) or core biopsy. Both techniques are specifically designed to prevent any contamination along the track of the needle. FNA uses suction to pull tissue into a syringe. Core biopsy uses a shield that is pushed down over the needle before it is withdrawn. There have never been any instances of these techniques causing spread of the tumor ...Read more
Leep shows hsil cin3 w/ endocervical gland involvement. Exocervical margins positive. Endocervical margins clear. Pap in 3 months or cone biopsy now?
At least PAP, may: Require bone biopsy later. From the information you provided, you have residual abnormal cells in the cervix and at a minimum you need to monitor the process by pap. Three months is not likely to cause irreversible changes for the worse and you can wait to see the pap results to decide, in consultation with your doctor, if cone biopsy is needed. ...Read more
What type of biopsy is more accurate for large clusters of microcalcifications in the breast,
stereotactic core biopsy or wire guided open
Open biopsy: is considered the historic "gold standard", but the accuracy of stereotactic biopsy approaches that of excisional biopsy, with less risk, less complications, less cost, and no disfigurement or significant scarring. It avoids unnecessary surgery. About 75% or so of all microcalcification biopsies turn out benign. Image-guided needle biopsies are the standard of care for a variety of reasons. ...Read moreSee 1 more doctor answer
Needle Biopsy.: Large bor needle is inserted into the object of interest then removed with a piece of tissue remaining inside the needle. A needle biopsy is cheaper, faster, generally safer and sometimes the only alternative to major surgery. In medicine we always try to do the least invasive and dangerous test first. ...Read moreSee 1 more doctor answer
A cone biopsy is a larger form of a cervical biopsy that often removes a cone-shaped piece of tissue from the cervix. Many times it removes tissue that is high in the cervical canal as well as tissue that is on the surface of the cervix. It will often include tissue that your health ...Read more