Is it unusual to not have a fine needle biopsy of breast before surgery?

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.
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.
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.
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.

Related Questions

What should I expect with a fine needle biopsy of my thyroid? What are the possible tumors or results?

Well tolerated. Many times we biopsy nodules seen on ultrasound. Most are benign. If a cancer is seen, most of the time it is papillary, and treatable with thyroidectomy and lymph node removal. There can be follicular cells seen, which usually results in removal of one side of the thyroid, as you can't tell for sure if its noncancerous follicular cells on fna. Rarely, they dont get enough cells to tell. Read more...

Does anyone know how much a fine needle biopsy on a thyroid gland will hurt?

Mild. The needle used is very thing and generally there is a small amount of discomfort in the skin when the needle first pierces. Most people say the discomfort is not much different than having blood drawn. Read more...
I DO!!! I have performed many thyroid fine-needle biopsies and have had more than a few biopsies of my own thyroid. To be honest, it hurt more than i expected when i had my first biopsy because i didn't anticipate that the thyroid has pain fibers (it does). However, the pain is very short-lasting and, as a typical low-pain threshold man/doctor, if i can handle it... Read more...
A small amount. Thyroid biopsies are usually done with a very very fine needle. This makes the biopsy less likely to hurt and actually makes for a better biopsy result. They may pass a needle up to three times for each nodule they want to sample. The doctor can give a local anesthetic but that is just to numb the skin and is often not needed. Read more...
A small amount. Thyroid biopsies are usually done with a very very fine needle. This makes the biopsy less likely to hurt and actually makes for a better biopsy result. They may pass a needle up to three times for each nodule they want to sample. The doctor can give a local anesthetic but that is just to numb the skin and is often not needed. Read more...
Minimally. If done properly fna of the thyroid is usually less painful than a standard blood draw even if no local is used. I have performed thousands and in skilled hands using small guage needles the procedure is minimally painful and should yield the correct diagnosis >95% of the time. Read more...

I've had a fine needle biopsy of a lymph node behind my jaw. I was told preliminary results are normal but staining is still required. What is stain 4?

Special tests. Routine processing of tissues and cells is generally completed in about 2 days. However, sometimes additional investigation is needed. A general term is special stains. It is a routine and usually needed process for some tissues, especially lymph nodes. Read more...

How accurate is a fine needle biopsy?

Very Accurate. An article from baylor in 2000 looked at more than 6000 patients who underwent thyroid fna biopsy. Sensitivity and specificity values of thyroid fna were 93% and 96%. The current nci classification: 1) nondiagnostic fna samples, 2) benign lesions, 3) malignant lesions, 4 atypia/follicular lesion of undetermined significance, 5) suspicious for a follicular lesion. Most common result benign. Read more...