11 doctors weighed in:
Is it unusual to not have a fine needle biopsy of breast before surgery?
11 doctors weighed in

Dr. Barry Rosen
Surgery
6 doctors agree
In brief: Yes (sort of)
Under most circumstances we prefer to have a definitive diagnosis before going to surgery.
The trend these days are to perform a core-needle biopsy rather than a fine-needle biopsy; the former provides tissue for definitive dx; the latter is like a pap smear, and is less sensitive. Having performed hundreds of both of these techniques in my career, both are equally well-tolerated w/local anesth.

In brief: Yes (sort of)
Under most circumstances we prefer to have a definitive diagnosis before going to surgery.
The trend these days are to perform a core-needle biopsy rather than a fine-needle biopsy; the former provides tissue for definitive dx; the latter is like a pap smear, and is less sensitive. Having performed hundreds of both of these techniques in my career, both are equally well-tolerated w/local anesth.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
1 comment
Dr. Kathryn Wagner
FNA is usually reserved for the axillary lymph nodes but most of do core there too.
Dr. Sean Canale
Breast Surgery
3 doctors agree
In brief: FNA or core biopsy
Core biopsy (14g or larger) of the breast is more common than fna (18g or smaller).
The former retrieves tissue samples that provide some architectural and other information. Today, a needle biopsy should almost always be done prior to surgery. One should have a diagnosis before surgery not be making one in surgery. That way, necessary info is obtained 1st and proper surgery planned.

In brief: FNA or core biopsy
Core biopsy (14g or larger) of the breast is more common than fna (18g or smaller).
The former retrieves tissue samples that provide some architectural and other information. Today, a needle biopsy should almost always be done prior to surgery. One should have a diagnosis before surgery not be making one in surgery. That way, necessary info is obtained 1st and proper surgery planned.
Dr. Sean Canale
Dr. Sean Canale
Thank
Dr. Michael Gabor
Diagnostic Radiology
1 doctor agrees
In brief: No
Not a fine needle biopsy, but a core biopsy is usually performed prior to surgery on lesions visible on imaging studies.
A specific preoperative diagnosis, if benign, eliminates unnecessary surgery, and if malignant, allows for proactive treatment planning and a more definitive surgical procedure, eliminating a potential second surgery.

In brief: No
Not a fine needle biopsy, but a core biopsy is usually performed prior to surgery on lesions visible on imaging studies.
A specific preoperative diagnosis, if benign, eliminates unnecessary surgery, and if malignant, allows for proactive treatment planning and a more definitive surgical procedure, eliminating a potential second surgery.
Dr. Michael Gabor
Dr. Michael Gabor
Thank
Dr. Regina Hampton
Breast Surgery
1 doctor agrees
In brief: Yes
A needle biopsy should be performed prior to surgery.
This can be done with a core needle or a fine needle in an office setting. The procedure takes less than 15 minutes. A diagnosis can be made and will allow proper planning for the surgery. Skipping this step causes scarring and more tissue is removed than may be necessary. If biopsy shows a non-cancerous mass, then surgery may be avoided.

In brief: Yes
A needle biopsy should be performed prior to surgery.
This can be done with a core needle or a fine needle in an office setting. The procedure takes less than 15 minutes. A diagnosis can be made and will allow proper planning for the surgery. Skipping this step causes scarring and more tissue is removed than may be necessary. If biopsy shows a non-cancerous mass, then surgery may be avoided.
Dr. Regina Hampton
Dr. Regina Hampton
Thank
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