Top
40
Doctor insights on: Core Needle Breast Biopsy Complications

Share
1

1
Is vacuum assisted breast biopsy more accurate than just core needle biopsy? Both u/s guided.

Is vacuum assisted breast biopsy more accurate than just core needle biopsy? Both u/s guided.

Accuracy: Both are highly accurate, 97-99%, in experienced hands. Vacuum assisted may provide a better sample for the pathologist, but standard core can make up for it with more samples. One may be preferred over another in certain particular circumstances. ...Read more

See 1 more doctor answer
Dr. Josephine Ruiz-healy
2 doctors shared insights

Biopsy (Definition)

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


4

4
Patient s/p mastectomy with sentinel node biopsy and tram flap.Now with recurrent cancer. Would anyone do repeat sentinel node biopsy?

Patient s/p mastectomy with sentinel node biopsy and tram flap.Now with recurrent cancer. Would anyone do repeat sentinel node biopsy?

Yes: There are studies that show a repeat sentinel node biopsy can be performed but it certainly would depend upon what type of incision was used for the mastectomy. ...Read more

See 2 more doctor answers
5

5
Does vacuum assisted breast biopsy cause cancer from thre trauma? Biopsy was negative (normal breast tissue)

Does vacuum assisted breast biopsy cause cancer from thre trauma? Biopsy was negative (normal breast tissue)

Nope: Congrats on the benign results! we have been performing core biopsies for over 30 years and have not found any association between benign biopsies and cancer development. Moreover, surgical biopsies are more "traumatic"--we've been doing those for 100+ years without any increased cancer risk. ...Read more

See 1 more doctor answer
6

6
DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

DCIS, left breast, biopsy itself removed high grade cancer cells, lumpectomy path 100% cancer free. Radiation necessary? What about proton therapy?

It depends: It may depend on your age. Radiotherapy to your involved breast may be required as it is the standard of care. Ask your doctor and let us know what advice you receive. Tamoxifen is another medication recommended after completion of Radiotherapy. ...Read more

7

7
Breast, core biopsies. _ intraductuctal papilloma with associated calcificstion is it cancer ??

Breast, core biopsies. _ intraductuctal  papilloma with associated calcificstion  is it cancer ??

Breast Biopsy: The results of your biopsy should be explained by your physician or the person preforming the biopsy. We are not supposed to make diagnosis on HealthTap and do not have access to the full report or clinical correlation. ...Read more

8

8
Needle aspiration on cyst right breast which didn't collapse 2nd asprtn 2 test cells.Unsure result.Biopsy done results fri....Cancer?

Needle aspiration on cyst right breast which didn't collapse 2nd asprtn 2 test cells.Unsure result.Biopsy done results fri....Cancer?

The biopsy: results will answer your question definitively, but the majority of these lesions are benign. The inconclusive fine needle aspiration results don't make it more likely to be malignant. ...Read more

See 2 more doctor answers
9

9
Will hematoma caused by MRI guided breast biopsy limit post biopsy sono or MRI image if suspicious area is very large would sono work inspite of hemat?

Will hematoma caused by MRI guided breast biopsy limit post biopsy sono or MRI image if suspicious area is very large would sono work inspite of hemat?

What is the reason: to look for the lesion on ultrasound after the biopsy? There should have been an ultrasound correlation prior to the MRI biopsy. Yes, the hematoma can limit a post biopsy ultrasound. If ultrasound is necessary, it might be best to wait a couple of weeks so the hematoma can resolve. ...Read more

10

10
Is a fine needle or excisional biopsy better to diagnose lymphoma?

Is a fine needle or excisional biopsy better to diagnose lymphoma?

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 more

See 1 more doctor answer
11

11
Dr used 18 gauge needle for breast core biopsy because lesion was small(4x7mm). Results were benign. Does this make sense?

Dr used 18 gauge needle for breast core biopsy because lesion was small(4x7mm). Results were benign. Does this make sense?

Sure,,: This just means you've had a breast biopsy that yielded benign tissue from this lesion indicating that it is of a benign type of lesion. You can discuss with your doctor what you want to do next, like take it out depending on where in your breast it's located. Best if luck. ...Read more

12

12
Dr used 18 gauge core needle u/s guided biopsy for 5 mm breast lesion. 4 samples were obtained. What does that mean?

Breast biopsy: The "18 gauge" refers to the diameter of the core biopsy obtained (a lower number is a thicker biopsy). The "4" refers to the number of tissue samples obtained of the 5 mm. Lesion that was presumably identified by imaging. Assuming the pathology results correlate with the imaging findings, you and your care providers should feel comfortable that they are addressing the lesion appropriately. ...Read more

See 2 more doctor answers
13

13
Breast needle biopsy - what to expect in the procedure?

Brief discomfort: A needle biopsy involves insertion of a hollow needle into the site where the lump or abnormality is located, and then extraction of a small amount of breast tissue into the core of the needle. The doctor will numb the skin first. There is a small amount of discomfort, usually, but nothing severe. You do not need sedation or anesthesia for this procedure. ...Read more

See 1 more doctor answer
14

14
Do all thyroid nodules require a fine needle aspiration biopsy?

Do all thyroid nodules require a fine needle aspiration biopsy?

No, but: That's a very complicated question. The short answer is no, but the nuances of which thyroid nodule to biopsy and when are complex and beyond the context of this forum. ...Read more

See 3 more doctor answers
15

15
Swollen lymph node over 5 months with atypical cells diagnosed by needle biopsy. No other symptoms. How likely will incisional biopsy find cancer?

Possible: Needle biopsy is considered insuficent to establish a diagnosis of lymphoma. A 5 month hisotry of swollen lymph nodes with atypical cells seen on FNA warrents an excisional biopsy as this is likly lymphoma. ...Read more

16

16
What type of biopsy is more accurate for large clusters of microcalcifications in the breast, stereotactic core biopsy or wire guided open surgery?

What type of biopsy is more accurate for large clusters of microcalcifications in the breast,
stereotactic core biopsy or wire guided open
surgery?

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 more

See 1 more doctor answer
17

17
Thoracocentesis and CT needle biopsy the same thing?

Thoracocentesis and CT needle biopsy the same thing?

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

18

18
Average cost of lymph node biopsy with out insurance? Is an excisional biopsy in neck done under local anesthesia?

Average cost of lymph node biopsy with out insurance? Is an excisional biopsy in neck done under local anesthesia?

UCR: Usual, customary, and reasonable fees may vary. The usual and customary fee is defined as the charge for health care that is consistent with the average rate or charge for identical or similar services in a certain geographical area. In your area, van nuys, range is $1000- $1300. ...Read more

19

19
Stage 2B idc breast cancer, triple positive. Us shows 6mm thyroid nodule with calcifications next to carotid. Should i insist on fine needle biopsy?

Stage 2B idc breast cancer, triple positive. Us shows 6mm thyroid nodule with calcifications next to carotid. Should i insist on fine needle biopsy?

Depends: This condition is unrelated to your breast cancer history. Ask your doctor what concerns or not are registered by the radiologists. Some type of thyroid calcifications are more likely to be benign. 6mm thyroid nodule is small & need to know risks of trying biopsy near carotid artery too. The doctor who ordered the study would know much more to help you than is able to be reported here. ...Read more

See 2 more doctor answers
20

20
Is bone marrow biopsy done without anesthesia?

Is bone marrow biopsy done without anesthesia?

Just for children: Young children will generally be put to sleep. The rest will at least get local anesthesia which is like novacaine over the hip. ...Read more

21

21
Does it happen often that a core needle breast biopsy will get nothing or just blood when they go in to get a sample, instead of tissue?

Does it happen often that a core needle breast biopsy will get nothing or just blood when they go in to get a sample, instead of tissue?

It has to get some: tissue. If the doctor happened to get an insufficient sample, he/she would simply take more samples. Sometimes if there is excessive bleeding, the biopsy needs to be stopped, but this would only occur after at least one sample was taken, and it is not a common occurrence. If the lesion is "missed" for some reason, also not very common, the pathology will at least show normal breast tissue. ...Read more

See 3 more doctor answers
22

22
Does a core needle breast biopsy make a tumor smaller or would it stay pretty much the same size but have holes in it from where they took tissue out?

Does a core needle breast biopsy make a tumor smaller or would it stay pretty much the same size but have holes in it from where they took tissue out?

It depends on the : size of the tumor. If it is only 5mm or less, it may be completely removed. If it is slightly larger than that, it may be smaller afterwards. If it is large, the core biopsy will have no perceptible impact on the size. The core bx only removes a very thin cylinder of tissue. ...Read more

See 1 more doctor answer
24

24
How many days of recovery of a core needle breast biopsy( 3 different spots will be biopsed).Dr said i'll have 3 scars.When could i go to the beach?

How many days of recovery of a core needle breast biopsy( 3 different spots will be biopsed).Dr said i'll have 3 scars.When could i go to the beach?

The scars will: be tiny and may fade over time. You may be sore for a couple of days, possibly up to a week or so. Mild bleeding or oozing usually gone within 24 hours. ...Read more

See 2 more doctor answers
25

25
Should there be little or no pain after a needle breast biopsy?

Yes: If you had a core needle or fine needle biopsy, the pain is minimal for most people (pain is subjective and different for everyone). In many cases there is swelling that naturally occurs because of the procedure. This can cause some pain that resolves in 1-2 weeks. ...Read more

See 2 more doctor answers
26

26
If you have a breast biopsy does the needle go threw your nipple or breast?

If you have a breast biopsy does the needle go threw your nipple or breast?

No: No, it wouldn't go through the nipple. The needle will go into the breast, but it won't go all the way out the other side. ...Read more

See 2 more doctor answers
27

27
Is vacuum assisted breast biopsy more accurate than just core needle biopsy? Both u/s guided.

Accuracy: Both are highly accurate, 97-99%, in experienced hands. Vacuum assisted may provide a better sample for the pathologist, but standard core can make up for it with more samples. One may be preferred over another in certain particular circumstances. ...Read more

See 1 more doctor answer
28

28
What are the lumps supposed to go away after a fine needle breast biopsy?

? cyst: The most likely lesion to "go away" after a fine needle aspiration (FNA) would be a cyst. A cyst is a fluid filled lesion. Once the fluid is removed (aspirated), the cyst collapses and disappears on imaging and exam. ...Read more

See 1 more doctor answer
29

29
Is it normal to have a lump and hardness a week after a needle breast biopsy?

Usually yes: A needle biopsy may result in localized inflammation or a hematome (contained blood) in the area of the biopsy which may feel like a hard lump. If it becomes progressively worse or if you suspect an infection, you need to see your provider. Otherwise it should gradually subside over a course of 2-4 weeks. If it did not go away, you need to check back with your breast care provider to be checked. In addition make sure you get the report of the biopsy to see if there is any concerns abut the result. ...Read more

See 1 more doctor answer
30

30
How to know if the lumps are supposed to go away after a fine needle breast biopsy?

They will only: go away if they were cysts, and the FNA punctured the cyst and removed the fluid. If they were solid lumps, FNA would not change their size. ...Read more

See 1 more doctor answer
31

31
After a needle breast biopsy, why would there be bruising directly opposite the incision as well as close to the incision, but only in these 2spots?

After a needle breast biopsy, why would there be bruising directly opposite the incision as well as close to the incision, but only in these 2spots?

Post biosy bruising: More information would be needed to answer completely. Bruising typically occurs when there is some oozing of blood near the biopsy site. If the biopsy was very deep, near the skin on the opposite side of the breast, this could cause bleeding at the entry site and at the actual biopsy site. Typically, this is more likely with MRI or stereotactic biopsy. ...Read more

See 1 more doctor answer
32

32
How can you tell if you had a vacuum assisted breast biopsy or just an automatic gun? They went in, there was a loud sound twice, removed needle,dumped sample out and repeated this a few times.

Biopsy: Standard automated gun is spring loaded and makes a loud split second snapping sound when fired. Sample then must be manually removed. Vacuum assisted system is connected to a hose. Whirring sound for several seconds during biopsy. Sample sucked through hose, needle does not need to be removed between biopsies. One exception: Celero vacuum system does not have hose and operates like automated ...Read more

See 2 more doctor answers
33

33
What kind of breast biopsy is best? My doctor wants to do a needle biopsy, but when my sister had that the doctor ended up doing surgery to take out the benign lump. Wouldn’t it make more sense to just do one procedure?

Needle biopsy first: Both doctors are right. It is recommended to do a needle biopsy first. Many times if it is benign additional surgery can be avoided. Certain benign lesions may require excision to rule out associated malignancy. I suspect that was the case of your sister. If the needle biopsy showed cancer, then a definitive cancer surgery can be done. ...Read more

See 2 more doctor answers
34

34
How long should I expect slight bleeding after a MRI guided core needle breast biopsy?

Couple of days. : Call the doctor who did the biopsy if it does not stop bleeding or if you have a lump forming, which may be a hematoma. You can try a binder such as an ace bandage also. ...Read more

See 1 more doctor answer
35

35
Had breast biopsy done 3 months ago - benign. Feel lumpiness near biopsy site but not right there. Had u/s and didn't see anything. OKay?

What did the biopsy: show? if it showed fibrocystic disease, then lumpiness is part of that process. Please follow your doctor's advice for follow up care. ...Read more

See 1 more doctor answer
36

36
3rd f/u u/s after breast biopsy-distortion had faded and smaller.U/s report said no suspicious findings.Biopsy was benign lactation changes.Good?

3rd f/u u/s after breast biopsy-distortion had faded and smaller.U/s report said no suspicious findings.Biopsy was benign lactation changes.Good?

Fading lesion good: A resolving abnormality is what you want to see. When the level of "suspicious" characteristics declines sufficiently, no further ultrasound follow-up should be necessary unless a new lump or additional symptoms develop. ...Read more

See 1 more doctor answer
38

38
Post fire verification in breast biopsy u/s images doesn't look like its right in the lesion... Looks more on the edge but hard to tell bc u/s looks blurry.Dr said very confident it was in the lesion?

Post fire verification in breast biopsy u/s images doesn't look like its right in the lesion... Looks more on the edge but hard to tell bc u/s looks blurry.Dr said very confident it was in the lesion?

Correlate all result: Physicians usually correlate the biopsy results from pathology with the radiologist opinion of the ultrasound/mammogram results and their physical exam of the mass. If any one of the three opinions disagree, then an excisional biopsy may be recommended to be sure what the lesion is. We call it "the triple test". ...Read more

See 1 more doctor answer
39

39
Radiologist wants to do a follow-up u/s after a breast biopsy that came back benign. If it was benign, what's the point in doing another u/s?

Radiologist wants to do a follow-up u/s after a breast biopsy that came back benign. If it was benign, what's the point in doing another u/s?

F/U Imaging : The radiologist most likely wants to make sure that the area that was sampled in the biopsy was the same one that brought you in to see your doctor in the first place. This is always a good thing to do, although the likelihood of missing the original lesion with proper wire guidance under ultrasound and multiple needle or core biopsies, is very small. ...Read more

See 2 more doctor answers
40

40
If breast biopsy for suspicious area on u/s came back as benign tissue and radiologist said it was concordant, do I need to get a second opinion?

Probably not: Given that the radiologist is saying that the biopsy result is concordant with the radiographic appearance, i would not think that a second opinion is "needed", although a second opinion should never be discouraged. At the very least, though, there should be radiographic follow up to determine whether the lesion is still "suspicious" or whether it has resolved. ...Read more

See 3 more doctor answers
Dr. Michael Gabor
211 doctors shared insights

Breast Biopsy (Definition)

Breast biopsy means obtaining tissue samples from an area of concern in the breast to be sent to the lab to make a diagnosis. This could be from a suspicious lump or a suspicious finding on you mammogram or ultrasound (or mri). The biopsy is obtained using a biopsy needle under imaging guidance. Occasionally an open surgical ...Read more