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Doctor insights on: Stereotactic Breast Biopsy

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Cryoablation for breast fibroadenoma?

Cryoablation for breast fibroadenoma?

Do-able: Fibroadenomas are the most common benign breast tumor (removal optional). Standard rx is a surgical lumpectomy under twilight anesthesia. Cryoablation uses a needle probe placed via ultrasound under local anesthesia to freeze the tumor, after which it dies. This option has been around for over a decade. While i prefer the surgical route due to pain, my colleagues who do this often swear by it. ...Read more

Dr. Abraham Jaskiel
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


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Breast tumor biopsy revealed 'canercous change'?

Breast tumor biopsy revealed 'canercous change'?

Need more info: "cancerous change" can mean many things. There are different pre-cancerous changes seen on breast biopsies, such as ADH (vasopressin) or alh (atypical ductal or atypical lobular hyperplasia). There are early cancers called dcis or lcis (ductal carcinoma in situ or lobular carcinoma in situ). Hopefully this is nothing, but we need more information. Make sure to follow-up with your doctor! ...Read more

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What is a stereotactic breast biopsy?

What is a stereotactic breast biopsy?

Check out: this RadiologyInfo link for an explanation: http://www.radiologyinfo.org/en/info.cfm?pg=breastbixr ...Read more

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What is breast cancer sentinel node micro metastases?

What is breast cancer sentinel node micro metastases?

Spread of cells: Micrometastasis means that a few tumor cells have left the breast tumor and traveled to the lymph nodes under the arm. In most cases, this is treated as a negative lymph node. I encourage you to review your pathology report with your surgeon and oncologists (ideally they are communicating with each other through a meeting called a tumor board). ...Read more

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Mammogram with punctate pleomorphic calcifications. Is that breast cancer?

Mammogram with punctate pleomorphic calcifications.  Is that breast cancer?

Needs investigation: Although breast calcifications may not necessarily mean cancer, pleomorphic calcifications are suspicious. A biopsy should be done. Talk to your doctor. Pleomorphism means that something is of varying shape and characteristics. A non-cancerous or benign calcification will be read as "benign-appearing". Don't delay your biopsy. ...Read more

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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

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Fibroadenoma (benign breast lump)--do I need removal or surgery?

Fibroadenoma (benign breast lump)--do I need removal or surgery?

Benign: A fibroadenoma is a very common benign breast mass that is found either incidentally on mammogram or ultrasound or is felt as a breast lump by the patient. Depending on the appearance and size of a fibroadenoma on imaging, it can be followed up, biopsied, or surgically removed. The majority however are left alone. ...Read more

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Mammo:ill marginated focal assymetry, sono:two lipomas or intramamary lymphs, mri:looks benign but birads 4, and recommends biopsy.Im confused/scared!

Mammo:ill marginated focal assymetry, sono:two lipomas or intramamary lymphs, mri:looks benign but birads 4, and recommends biopsy.Im confused/scared!

Seek expert opinion: I would advise that you consult a breast cancer surgeon or medical oncologist who has reputation of being a specialist in breast diseases/cancer. Based on your history, you may need to have a biopsy of the lumps/masses/ shadows that you have mentioned. That is the final solution to any palpable/visible lump in the breast. This will remove your anxiety which is due to the uncertainty you are facin. ...Read more

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O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

O had surgery for positive breast cancer. Is sentinel lymph node biopsy accurate for breast cancer surgery. Node was negative.

Yes they are: by now sentinel lymph node are the standard of care for breast cancer surgery and staging, and yes they are very accurate. node is negative is a very good news that will make the cancer early stage and hopefully cureable ...Read more

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What distinguishes inflammatory breast cancer from invasive breast cancer?

What distinguishes inflammatory breast cancer from invasive breast cancer?

Inflammatory breast: Cancer is a subtype of invasive breast cancer that involves the skin. It causes the skin to appear inflamed. ...Read more

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Is dcis breast cancer genetic?

Is dcis breast cancer genetic?

It can be: Dcis, the earliest form of breast cancer, can be associated with brca mutations. 13% of women under 50 diagnosed with dcis had a brca mutation in retrospective (looking backwards) studies. Women with a family history of breast or ovarian cancer or dcis before age 50 should have genetic counseling. For more info: http://clincancerres.Aacrjournals.Org/content/13/14/4306.Full. ...Read more

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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

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Breast Mri VAB biopsy of regional non mass hetrogeneous enhancement is benign breast tissue 2nd rad opinion wrong area biopsied what to do. Scared?

Breast Mri VAB biopsy of regional non mass hetrogeneous enhancement  is benign breast tissue 2nd rad opinion wrong area biopsied  what to do. Scared?

If the second: opinion is correct(not always the case), you need to have another biopsy so the right area is sampled. Consider discussing your concerns with the original radiologist, or consulting a third radiologist as a "tie breaker", before having the procedure repeated. ...Read more

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Should axillary sentinel node biopsy be done after chemotherapy?

Should axillary sentinel node biopsy be done after chemotherapy?

Usually before.: Sentinel lymph node biopsy is usually done at the time of lumpectomy for breast cancer. The information gained is used in the decision making as to whether adjuvant chemotherapy should be given to increase the likelihood of cure. Rarely, it might be done after chemotherapy if the initial role of chemo was to shrink the tumor to allow surgery (neoadjuvant chemotherapy). ...Read more

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Can a breast MRI miss breast cancer?

Can a breast MRI miss breast cancer?

Yes, it is: more than 90% sensitive for most cancers, but no test is 100%. ...Read more

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Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Have fibrocystic breast disease. Ultrasound shows 1cm well circumscribed breast nodule and doc wants biopsy? Normal procedure?

Yes: Core needle biopsy is routine procedure for any mass found on mammography or ultrasound. It doesn't sound like it is cancer, but the reason you had the ultrasound in the first place is to see if there were anything that your doctor can't feel on exam, right? Now that they see something, you need to find out what it is. By doing a biopsy, you will know for sure. ...Read more

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Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

Would a cancerous (lymphoma, breast cancer, etc.) axillary lymph node shrink?

No: A lymph node replaced with malignant cells growing as a primary lymphod tumor or metastatic from another site which has spread to axilla will not shrink without treatment, either chemo or RT. The node will enlarge further or if unchanged will spread to adjacent nodes. It does not have the potential to metastasize further to non lymphatic tissue such as liver or lung. ...Read more

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What is cystosarcoma phylloides breast lump, variant of fibroadenoma?

What is cystosarcoma phylloides breast lump, variant of fibroadenoma?

No; rare cancer: Cystosarcoma phyllodes is a cancerous variant of a tumor that is uncommon but usually benign (phyllodes tumors). They can be confused with fibroadenomas, BENIGN common tumors. Can grow to be quite large, usually painless; are best completely removed after diagnosis made. Unlike other breast cancer, don't spread to lymph nodes, but spread in blood. Chemo/radiation offered. They tend to recur. ...Read more

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Dr. Michael Gabor
210 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