Infection following an excisional biopsy

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kimjerun
kimjerun Member Posts: 2

I had a mammogram 4/30 with abnormal calcifications. Had stereotactic biopsy of 2 sites with some difficulty due to my small breast size.  One had a single focus of atypical ductal hyperplasia.  This led to an excisional biopsy on 5/13.  Results were all benign, but I developed a bad infection in the biopsy site and it had to be drained.  Had incision opened back up and have been packing it twice a day ever since.  What a pain!  Any one else had this happen and how long until it closed and healed completely?  Since I have such small breasts to start with and now with all this, I feel fairly sure that a mammogram will be useless on that side from now on.  Do you think an MRI would be helpful from now on?  I go to see that Oncologist on 6/18 to discuss chemoprevention, but I just don't think I need it.  I have no family history anywhere and am 42.  My only risk factor is having my first child after age 30.  There was only one focus of the ADH on one of the stereotactic biopsies and none on the excisional biopsy.  Thanks to anyone who can help!

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  • Deirdre1
    Deirdre1 Member Posts: 1,461
    edited June 2009

    Kimjerun:  Have they already given you antibiotics for the infection if not then you really should have the site (and your blood) culturered for the MRSA infection and unfortunately the results can be scewed if they have started you without a culture.  Did you ask if they knew which type of infection this was?  It's so important for us all to insist that an infection be culturered today, in this world of resistant infections.  (I say that to us all because I am presuming other people will read your question). 

    A breast MRI is very useful for diagnosis scans.  I was not that small breasted and had my annual mammo's (well I did skip a year or so) and on the occassion of their finding my DCIS I had had a mammo, a digital mammo, a sonogram all were negative and just for grins they decided to do a breast MRI (I have a strong family history) and there it was a small lession of DCIS..  When I had my final surgery for removal it was true DCIS.. so I am very partial to breasts MRI.  And it is common for your providers to say "they create too many false positives" but that is what they use to say about mammo's - also there is a "drive" from the medical community now not to use them because they found DCIS in 60+thousand women with the breast MRI and instead of finding a proper protocol to address it they decided that too many women were making the "wrong" decision (not my words!) and having bi-laterals.. Such nonsense - when women are encouraged by their docs to HAVE the bi-laterals - do they think that a women with DCIS will just call up and say I'll take two mastectomy's thank you!  The test (breast MRI's) is a good test and all tests produce too many false positives as well, as in my case too many false negitives.. So yes ask for a breast MRI every few years and make your insurance company pay for them and you can be sure, especially as time goes forwards and there are more facilities, docs and tech who are better trained to read breast MRI that they will be the "new" mammograms..  Good luck and congrat on your b9 findings may they always be so!!!  Best

  • kimjerun
    kimjerun Member Posts: 2
    edited June 2009

    Thanks for you comments.  I appreciate you opinions on the MRI and will certainly ask for this.  I didn't have any culture done, but did take antibiotics. I did wonder about this too. No tests were done for MRSA.  The area is much better, but is still open and as mentioned, I am still having to pack it with sterile gauze 2x a day.

  • swimangel72
    swimangel72 Member Posts: 1,989
    edited June 2009

    Deidre is right - the doctors really need to culture a wound before giving antibiotics. I believe they RESIST doing so because they do not want to report MRSA - so they don't look bad. In my case, they put me on vancomyacin because 7 days after my free-tram, I returned to the ER with shortness of breath.........when they got my pain under control and I was finally able to cough, they cultured the sputum - it was positive for MRSA. However, they dragged their feet about draining the pocket of fluid in my abdomen (insisting that my pain was due to a gall stone). When the GI specialist finally told them I was in no condition to have the stone removed, they were finally forced to aspirate the fluid and culture it. Even though I had been on vancomyacin for about 8 days at that point, the fluid still cultured positive for MRSA - and they had to add another IV antibiotic. MY PS was very flustered and annoyed when he aspirated the fluid (the pain was pure torture to me!) but once the fluid was removed I felt so much better and shortly after getting a new antibiotic, my fevers ended. My abdominal incision did re-open though and I had to pack this awful wound for 4 months. I hope your wound will heal faster than that Kim..........I'm sorry you had to get an infection just from a biopsy............you should ask for copies of all your reports to see what was actually done to you.

    Good luck and feel better soon!

  • Deirdre1
    Deirdre1 Member Posts: 1,461
    edited June 2009

    I'm with you swimangle72 all the way.. as a matter of fact I think that a thread of "things to check before taking antibiotics for an infection" should be promoted by the moderators here so that other's don't end up with such an incredible journey such as yours.  There are thousands of men and women every year now who end up with life threatening infection and they still don't routinely do cultures.. and they use to do cultures for a sore throat.. I believe you are correct when you say the doc's don't want to look bad.  They don't want their institution infection rates to be increased especially for the anti-biotic resistant strains..    I hope you are better now.. and Kim I hope it isn't MRSA!!!  Good luck!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited June 2009

    sorry you're having troubles healing. I had trouble with  stitches backing out which delayed my healing--same thing happened with my abdominal incision after hysterectomy. But eventually, everything heals and the scars fade. Mammos should still work for you  even if you're small breasted.

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