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Which is best, core biopsy or excisional biopsy?

Misti%20 Hillis Profile
Asked by

anonymous

Learning About Breast Cancer almost 8 years
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  • Anne Marie jacintho Profile
    anonymes
    Survivant depuis 2003
    Morning Misty The type of biopsy is one of those choices which is best for you. A core biopsy is less invasive. With the assistance of xray they go in with a big bore type of needle or cone knife and remove part of the suspicious area. With an excisional biopsy after dye localization. Using the assistance of mammogram the radiologist inserts a wire to inject dye to the suspicious area. The surgeon then goes via incision and removes the dyed are taking the specimen back to the radiologist to make sure by xray assistance again that the entire suspicious area us removed. I had my biopsies in 2003, 2005, and 2008 each by incisionsl biopsy to me it was peace of mind I knew the day of the procedure the results as my surgeon had a pathologist reading it while I was recovering from the anesthesia and he knew that he had clean margins. He removed the entire suspicious are. You can read my personal experience at http://home.roadrunner.com/~amj. I take you from my initial abnormal mammogram, the biopsy, surgery and recovery period. With a reflection a year later. Hope this helps. The more information you have the easier it is to decide what us best for you. Ask questions to the doctors and the nurses, what would they do how did patients handle the procedure. As my doctor said educate yourself. Be your own advocate for your care Take care
    almost 8 years Comment Flag
  • Misti%20 Hillis Profile
    anonymes
    Étude du cancer du sein
    I had a lumpectomy which is assume is about the same as an incisional biopsy sixteen years ago. The mass was benign but this mass is aggressively growing and I also am experiencing burning in my nipple? I am wanting the quickest result.
    almost 8 years Flag
    • Anne Marie jacintho Profile
      anonymes
      Survivant depuis 2003

      My biopsies were called wide excisional biopsy, yes similar to a lumpectomy. I had bilateral subcutaneous mastectomies ( they leave 1/4 inch of subcutaneous tissue areola and nipple in tact) with reconstruction in 2003. Had suspicious mammograms...

      plus

      My biopsies were called wide excisional biopsy, yes similar to a lumpectomy. I had bilateral subcutaneous mastectomies ( they leave 1/4 inch of subcutaneous tissue areola and nipple in tact) with reconstruction in 2003. Had suspicious mammograms in 2005, Instead of another biopsy I chose to have the surgeon go in and remove the remainder of the breast tissue, the nipple and areola. Pathology came back atypical hyperplasia. In 2008 another abnormal mammogram decided to have further scrapping of what ever breast tissue could be found basically bilateral simple mastectomies with axillary lymph nodes negative. Pathology results were Ductal carcinoma in situ with microscopic invasive cells. I did not have radiation (no tissue to radiate) or chemo as it is an early stage of cancer. Was put on adjacent therapy of tamoxifen. I thought with my extensive procedure to start with I was getting rid of the cancer but not the case. I had family members that had lumpectomies with radiation and 10 years later had reoccurrence, so thought I was staying one step ahead of the game.. No perfect treatment or "cure" for breast cancer. Just got to stay on top of it...I totally understand your wanting to get the quickest result. To me saving my breast was never an option long family history of breast cancer. My reflection on my mastectomy desicion was that It did it's job I nursed two children after that it was just fatty tissue...Felt a little vane wanting reconstruction, very happy the doctor did the mastectomy and reconstruction at the same time. less issue to deal with after surgery. Waking up with bumps a much better feeling then a concave chest. I was a nurse and took care of patients after mastectomies from the old days so knew with my eyes open what I would have to deal with. I was very fortunate to have a supportive husband who held my hand through it all, and had the same views get it all out don't wait....
      Do I miss my breast? I have barbie boobs never went back for the nipple reconstruction. Yes at times I miss my real boobs and my nipples but those times are few and far between...as my husband tells me when I mention it to him..."your boobs or your life? Your life is more valuable"

      almost 8 years Flag
    • Misti%20 Hillis Profile
      anonymes
      Étude du cancer du sein

      Thank you for your support and story. I think it helps me to hear those things and know what I could possibly be hearing tomorrow.

      almost 8 years Flag
    • Anne Marie jacintho Profile
      anonymes
      Survivant depuis 2003

      Will keep you in my prayers. You can email me at abnormalmammogramnowwhat@yahoo.com if you need to talk things through.

      Take care

      almost 8 years Flag
    • Anne Marie jacintho Profile
      anonymes
      Survivant depuis 2003

      Evening Misti,
      Hope all went well with your procedure. Just thought I'd let you know I was thinking of you

      almost 8 years Flag

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