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Medical Forum / Diseases and Disorders / Breast Cancer / September 2005

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MAMMOGRAPHY.......Biopsy needed

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Bonnie Brien - 31 Aug 2005 01:11 GMT
I had my first mammogram...........may NOT be normal
result.........questionable area on it

Biopsy is scheduled for Thursday..............

Scared................

Bonnie
Sandy L - 31 Aug 2005 01:32 GMT
> I had my first mammogram...........may NOT be normal
> result.........questionable area on it
[quoted text clipped - 4 lines]
>
> Bonnie

Welcome.  Take it one day at a time.  The result may not be malignant, and
even if it is, your chances of success are likely to very high.  The biopsy
is not fun, but you have almost surely been through much worse.  When you
get the results of the biopsy back, try to have some questions written out
and have someone with you to take notes.  Others will probably have more
specific suggestions.

Best wishes,
Sandy L
Bonnie Brien - 31 Aug 2005 02:03 GMT
What is biopsy procedure like?
alex - 31 Aug 2005 04:22 GMT
When I had mine, they numbed the area, then used a computer guide needle. I
have had must worse dental appointments.....and most are not cancer!

Waiting is the pits.

> What is biopsy procedure like?
Tim Jackson - 31 Aug 2005 08:25 GMT
> What is biopsy procedure like?

There are several different sorts of biopsy, depending on where and how
large the lump in question is.

Most involve sticking some sort of needle or probe into it to take a
tiny sample of the tissue.  The simplest is a "fine needle aspiration",
which is rather like an injection, and the sample is taken of fluid and
cells adhering to the outside of the needle.  Primarily for draining
fluid-filled cysts, it also allows the lump to be checked for cancer.

The next one up is perhaps the commonest, a core biopsy which involves
what is essentially a larger needle, perhaps 1mm diameter, which is
hollow and takes a solid sample of tissue a centimetre or so long, by
one of several ingenious systems involving a thin tube which slides or
turns inside the needle, sometimes aided by suction.  This is done under
local anaesthetic, takes a few seconds, and causes a small bruise where
the needle is inserted, which heals quickly.

Where the lump is deep and/or small and difficult to locate, they may
use a technique (wire guidance) where a thin wire is inserted to the
lump while watching on an x-ray  or ultrasound image.  The biopsy is
then taken using the wire as a guide to ensure the right tissue is
sampled.  This is said to be more uncomfortable than painful, and
involves a lot of lying around while people prod at you.

In a few cases that are really inaccessible, there is also a "surgical
biopsy" which is essentially the same procedure as a lumpectomy, but in
an exploratory mode.  But that isn't what you are having if they just
say "biopsy".

If no-one has said otherwise you will probably get a simple core biopsy.

Tim Jackson
lisa - 31 Aug 2005 13:12 GMT
Bonnie,

Most of us here remember quite clearly the moment that we were told we
had to have a biopsy.  Yup, to say that it's scary is an
understatement.  Just remember that something like 80-90% of these
things are benign.  As someone else mentioned, waiting is the pits.

I'll be thinking of you Thursday and praying for a good result.  Please
let us know how it goes.

Take care.
...lisa
Pamela Cook - 31 Aug 2005 13:37 GMT
> What is biopsy procedure like?

 I had core biopsy..the doctor said it was like a staple gun that grabbed a
small amount of the tissue....they took 3 samples and it did hurt a
bit...but have had worse dental treatments.
I know what you're going through and my thoughts are with you,  even if it
is cancer it's not an automatic death sentence....I've had op. chemo and
rads....and am back to work in a fortnight...yearly maograms  and all
fingers crossed...(and toes!)
                GOOD LUCK
                           Pam xx
A. P. Thorsen - 31 Aug 2005 14:44 GMT
> What is biopsy procedure like?

I've had multiples (3? 4?) of the fine-needle type.  Topical anaesthetic
was applied, then a fine needle inserted one or more times.  It didn't
particularly hurt (can't remember if it stung slightly, but that gives
you a hint how memorable it happily *wasn't*), but there was some
bruising after.  But I bruise easily.

I had the wire location thing before I surgical biopsy.  I didn't find
the wire location procedures bothersome.  It's kind of weird, but the
discomfort factor mostly involves the mammography to get the wire in the
right spot -- no biggie.

As others have said, the majority of lumps turn out to be benign, so
it's too soon to panic.  Even in the unlikely event it is malignant,
treatment -- while a rotten hobby <grin> -- is pretty do-able, and most
often has good results.

Let us know how things turn out, OK?

Hoping for good news,

Ann T.
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Barb - 01 Sep 2005 01:37 GMT
Hi Bonnie,
I'm sorry you are having to experience this, but glad you found this group.
Lots of kind and knowledgeable people here.  I had BC almost 22 years ago,
which was diagnosed with an excisional biopsy.  This summer I had a
stereotactic biopsy done---computer guided core type.  It really wasn't
difficult at all.  The mental part is the worst....waiting for pathology.
In my case, that took only a couple of days and was benign.  I'm hoping you
have an easy time of it and get good results as quickly as possible.  Best
of luck tomorrow.

Barb
Marni Lee - 01 Sep 2005 02:12 GMT
Hi Barb

I have to tell you this, when I read some of your posts and you mention your
BC was nearly 22 years ago, you make me feel so much better.

Marni

> Hi Bonnie,
> I'm sorry you are having to experience this, but glad you found this
[quoted text clipped - 7 lines]
>
> Barb
Barb - 01 Sep 2005 12:08 GMT
Hi Marni,
I remember how much I wanted to hear about long term survivors back in 1983.
It's really why I participate in the group....'cause surgery and treatment
is so much different now, that I don't really have much to contribute about
those aspects.

It was nice to find your note this morning...Hope you continue to do well
too.

Barb

> I have to tell you this, when I read some of your posts and you mention
> your BC was nearly 22 years ago, you make me feel so much better.
[quoted text clipped - 12 lines]
>>
>> Barb
Bonnie Brien - 01 Sep 2005 23:58 GMT
Surgeon says he feels something behind the right nipple

Scheduled biopsy for 9-16-05

Bonnie
7x GrandmaKATHY - 12 Sep 2005 04:35 GMT
Bonnie,
I am 51 yrs old. In Dec. 2004 I had my yearly mamogram.....it came back
showing abnormalities in my left breast.
I CRIED!!! I was scared to death!

On my 51st birthday(Jan.27th) I also HAD to have a biopsy. It was VERY
uncomfortable for me....even  with numbing the area. And I bruised
too....but I bruise VERY easily.

My husband,step-sister and I sat and talked to my surgeon for  a hour in
a half....asking tons of questions and I ALSO took  my note-pad full of
questions.

I asked him, IF  I were his wife, would HE want  me to  have surgery?
Would he want me to take the 32 radiation treatments? Would he want me
to  take Tamoxifen for 5 years?

He answered YES to ALL 3 of my questions.....

My husband & I cried  AND PRAYED together.....I had my entire families
support.
Thank God, I had stage 0 Breast Cancer ....and it was NOT in  my nodes.

I had my surgery Feb. 9th, 2005 ,came home the same day with my entire
left breast bandaged.....and swollen. (looked like Dolly Parton
<giggles>

I rested for a week (I babysit 3 of my 7 grands ...16 month old boy/girl
twins and a 4 in a half yr old girl) while my breast healed.

I had a"high noon" incision......directly above the areola area.

I started Tamoxifen on May 15th, ONE week AFTER my last radiation
treatment.
So far, the ONLY thing I have to complain about is: I break out in
horrible sweats when I  least expect it....I  get soaking wet!!
Something I have to live with.....
BUMMER YES.......but it could have been worse!
I  could  have been diagnosed with stage 4  or 5   and possibly NOT make
it.

God  will be  right  there with you.
And I'll  add you to my prayer list........KEEP  us ALL  updated!

Good Luck Friday.

Someone who's been there.....and CARES...a  lot!

Kathy  Powell  in Indiana
7x GrandmaKATHY - 13 Sep 2005 00:50 GMT
My surgeon was a general surgeon.....young, 37, VERY handsome, loving,
compassionate  family man.....
When he did my biopsy he KNEW it looked like pre-cancer
cells.........BUT.......he wanted a 2nd opinion, so he sent my biopsy to
Indianapolis Cancer center and they determined it DID need to be
removed!!!

So, my left breast is smaller than the right one.........LOL (but it
always was......now it's a "B" instead of a "C")

He removed 1/4 of my left breast.

I have "CANCER" in my family.....mom died at the age of 49 of lung
cancer..and buried on my 22nd birthday...daddy died at 73 of lung cancer
and emphysema.
HIS sister died of Lukemia.

I was ALSO told by  ALL 4 of my doctors
(oncologist, cancer doctor, surgeon, and primary M.D.) that once you
have one cancer, you ARE AT HIGH RISK to develop ANOTHER!!!
THIS SCARES THE HELL out of me too!

Many thoughts & Prayers,
Kathy Powell ~ EAST CENTRAL, INDIANA
Tim Jackson - 13 Sep 2005 10:13 GMT
>  
> I was ALSO told by  ALL 4 of my doctors
> (oncologist, cancer doctor, surgeon, and primary M.D.) that once you
> have one cancer, you ARE AT HIGH RISK to develop ANOTHER!!!
> THIS SCARES THE HELL out of me too!

It might be a bit less scaring if they said *higher* risk rather than
high risk.  The lifetime risk is something like twice as high as for the
general population.

If you look at it, the statement is not of itself anything to be scared
of, it it the spin you put on it that frightens you.

It doesn't say anything about your life expectancy: after all if a
general cure for say cardiovascular disease were suddenly discovered,
that would significantly increase your lifetime risk of getting cancer
too, simply because it would increase your life expectancy, and the
longer you live the higher your risk of any cancer.

Or conversely, shutting your eyes while crossing the road dramatically
reduces your lifetime risk of getting cancer.

And before you ask, no, I don't know what the effect of a previous
cancer on life expectancy is.  I expect there is some reduction, but I'm
sure it is not as bad as it looks at first sight because a lot of second
cancers come in old age and progress slowly.

Tim Jackson
 
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