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Doctor insights on: Tru Cut Biopsy

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For a TRUS/prostate biopsy, do you prefer prescribing Cipro (ciprofloxacin) alone, or with gentamicin? Or, gentamicin with ceftriaxone? Thank you...

For a TRUS/prostate biopsy, do you prefer prescribing Cipro (ciprofloxacin) alone, or with gentamicin?  Or, gentamicin with ceftriaxone? Thank you...

Cipro (ciprofloxacin) alone: The most commonly used and recommended prophylactic antibiotic regimen for prostate biopsy is a fluoroquinolone (such as ciprofloxacin) alone, i.e. no aminoglycoside. See http://www.ncbi.nlm.nih.gov/pubmed/21563156: "...there were no significant differences between several classes of antibiotics for the outcomes tested (bacteriuria, bacteremia, fever and the need for hospitalization)." ...Read more

Dr. Oscar Novick
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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How long does the transrectal ultrasound with prostate biopsy take?

How long does the transrectal ultrasound with prostate biopsy take?

Prostate Biopsy: The duration of the procedure depends on a number of factors: 1) how many samples are taken (6, 12, 24?); 2) what kind of sedation is provided (local, conscious, monitored anesthesia); 3) operator skill; 4) patient factors; 5) complications or not; 6) pre-procedure prep time; 7) post-procedure recovery (particularly how quickly you pass urine); 8) setting where performed (hospital or outpatient). ...Read more

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Will a black spot that I have and am getting biopsied september 28 be all the way cut out during the biopsy?

Will a black spot that I have and am getting biopsied september 28 be all the way cut out during the biopsy?

You'd hope so: But if it's something serious like a melanoma, you'll likely have another operation to take out a lot more tissue to try and be sure it's completely removed. ...Read more

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3 days after a biopsy, is it normal for the small cuts to hurt after having the gauze off of them and letting them breathe?

3 days after a biopsy, is it normal for the small cuts to hurt after having the gauze off of them and letting them breathe?

Maybe: It is unclear what type of biopsy you had, but it does sound reasonable for any open areas to sting on exposure to air. Call you dr if you have extreme redness at or around the biopsy site, or pus from the area, or fever greater than 100. ...Read more

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Skin cancer once cut for biopsy becomes increasingly difficult to heal?????

Skin cancer once cut for biopsy becomes increasingly difficult to heal?????

No: I should not be difficult to heal unless there is some underlying skin problem or persistent tumor. See a dermatologist who specialized in skin cancer ...Read more

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Is a popliteal lymph node biopsy performed under local or general anaesthesia? Is it a straight cut or an s cut?

Is a popliteal lymph node biopsy performed under local or general anaesthesia? Is it a straight cut or an s cut?

Either: A popliteal lymph node dissection is usually performed using local or regional anesthesia (nerve block) along with sedation. General anesthesia may be required depending on pathology or other medical issues. ...Read more

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My dermotologist biopsied mole on back, said it was abnormal and could turn into melanoma and I should have it cut out. Do I need to have it cut?

My dermotologist biopsied mole on back, said it was abnormal and could turn into melanoma and I should have it cut out.  Do I need to have it cut?

I guess So: I see no reason why not to listen to a professional dermatologist who trained in the study of the skin. You certainly do not want the lesion turning into a pathological condition. If you want t real 2nd opinion, you would need to go to another Dermatologist and bring the path report and get a physical exam form them visualizing the area in question. Best wishes. ...Read more

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How can I get rid of a wart on my nose they have cut it out with a biopsy, and also tried to freeze it off but came back

How can I get rid of a wart on my nose they have cut it out with a biopsy, and also tried to freeze  it off but came back

First, : First, i would presume the biopsy confirmed it was a wart? If so, i would recommend that you try liquid nitrogen treatment again but make sure that you do a follow up appointment about three weeks after the initial treatment. Sometimes, a second treatment session is very helpful to "polish" off the base of the wart . There are a few other topical options but typically a wart on the nose resolves fairly easily with liquid nitrogen. I hope that helps! ...Read more

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The lab said muscle biopsy was consistent with Complex IV. My neurologist says it's not a clear cut case. What to do next? 2nd/3rd opinions?

The lab said muscle biopsy was consistent with Complex IV. My neurologist says it's not a clear cut case. What to do next? 2nd/3rd opinions?

It is pretty: certain that since you are now 31 years old that if you had the misfortune of having "clear cut" Mitochondrial Disease it would have declared itself by this time. You are dealing with a relatively RARE field of neuromuscular disorders and you should not "shop" for any more "opinions" (unless , of course there is a local "guru" (expert) in the various mitochondrial diorders and their variants ...Read more

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I have very small pieces ok skin coming out from my body (eye back under arm). Can my dermatologist cut them without a biopsy first?

I have very small pieces ok skin coming out from my body (eye back under arm). Can my dermatologist cut them without a biopsy first?

Yes; skin tags: Benign skin tag likely. These are common protrusions of normal skin that tend to crop up in areas of the body, usually in creases around arm pits, groin, eyelids, neck. May be clipped without anesthesia or with. If classic appearance without atypical appearance , then complete excision may be performed without histo-pathological tissue evaluation. ...Read more

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Admitted to hospital overnight after colposcopy. Cut artery at biopsy. Massive bleeding. Lots of burning and pack for 24h. Im scared.Will i be alright?

Admitted to hospital overnight after colposcopy. Cut artery at biopsy. Massive bleeding. Lots of burning and pack for 24h. Im scared.Will i be alright?

Bleeding: Yes you will be okay. Its very unusual to have this complication. Do you have any history of a bleeding disorder? Also, its unusual to have a colonoscopy at such a young age, i imagine you were have severe symptoms to warrant a colonoscopy. Your doctors will take good care of you and keep a close eye on you. Best of luck getting back to normal. ...Read more

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The doctor said my granny has breast cancer without carry out a biopsy and asked for the breast to be cut off immediately should I allow it?

The doctor said my granny has breast cancer without carry out a biopsy and asked for the breast to be cut off immediately should I allow it?

NO: There is more to it , with your granny's permission speak to her doctor and get the right information , as all the facts you may not be aware of . No doctor will perform mastectomy with out biopsy , may be a core needle already done in the doctor's office. If doctor is performing mastectomy with out biopsy , it is not too late to take her to different doctor .Good luck. ...Read more