Hematoma after stereotactic biopsy

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lifechanges
lifechanges Member Posts: 6
edited February 2016 in DCIS (Ductal Carcinoma In Situ)

I had a stereotactic biopsy 10 days ago.  I started hemorrhaging about an hour after I got home which resulted in a hugh hematoma.  The results of the biopsy confirmed DCIS, high grade 3, but treatment cannot be started until the hematoma clears up.  There has been little change in the extent of the hematoma.  Has anyone else had a similar experience?  Did you end up with a positive outcome?  I'm a bit frantic.

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  • lifechanges
    lifechanges Member Posts: 6
    edited June 2009

    Content

    I had a stereotactic biopsy 10 days ago.  I started hemorrhaging about an hour after I got home which resulted in a hugh hematoma.  The results of the biopsy confirmed DCIS, high grade 3, but treatment cannot be started until the hematoma clears up.  There has been little change in the extent of the hematoma.  Has anyone had a similar experience?  Did you end up with a positive outcome.  I'm a bit frantic.

  • mom2two
    mom2two Member Posts: 1,352
    edited June 2009

    Sent you a PM that you can find by clicking on your private message box up to the top right of this page.

  • Tamara1201
    Tamara1201 Member Posts: 70
    edited June 2009

    Hi Lifechanges,

    I too got a hematoma after my sterotactic biopsy, although I had been on coumadin for a heart problem, I stopped it in plenty of time. They said it was because my tumor was very vascular. I had my lumpectomy about 3 weeks later and there was still a little residual bruising when I had surgery,but the majority had cleared up.  I hope things go well for you

     Tamara

  • lifechanges
    lifechanges Member Posts: 6
    edited June 2009

    This is likely a stupid question, but how do I read the message once I get into private messages?  Thanks for your response.

  • trirun26
    trirun26 Member Posts: 19
    edited June 2009

    Hi "lifechanges"

    Don't be FRANTIC! I know it is easier to say than to do!!!! I had a core biopsy and had a pretty big hematoma for a few days after. I was able to put warm compresses 24 hours after surgery which helped. There was nothing else I could do, it will pass don't worry.

    My initial dx was "atypical hyperplasia/borderline DCIS".  I have now had my lumpectomy in the left breast (had it 3 days ag0). Recovering well, not 2 bad. My anxiety now is now towards the final path result and having clean margins...I am terribly anxious about this clean margin deal.

    Take care, you are not alone in this!! we are all here for each other. This is an awesome site.

    Alicia

  • desdemona222b
    desdemona222b Member Posts: 776
    edited June 2009

    You ladies will be okay.  Surgery for DCIS is not an emergency - it's growing very, very slowly that early.  I know it's tough right now, but try to just take a lot of hot baths and let yourself heal.

    Warm wishes -

    Becky 

  • KAR
    KAR Member Posts: 225
    edited June 2009

    Hi,

    Just wanted to tell you that I had a hematoma also, it took a couple of weeks before it totally resolved but my surgeon didn't seem concerned.  I was very bruised and had a golf ball size lump for about 3-4 weeks. My surgeon also said to wait a couple of weeks before doing lumpectomy due to hematoma, so this must be standard.  Some people just bleed more than others.   By the time I had surg you could hardly tell.  Good news is the lumpectomy wasn't as painful/bruised as the biopsy site!  You'll do fine, waiting is the worst part. 

    Good luck

  • lifechanges
    lifechanges Member Posts: 6
    edited June 2009

    Thank you so much to everyone who has replied so far.  It has helped a lot to calm me down a bit.  It seemed that everyone I was able to talk to had never heard of such a thing happening, so it was very easy for a feeling of sure doom to set in.

  • Lursa5
    Lursa5 Member Posts: 112
    edited June 2009

    -+-Hi Lifechanges,

     Was aleted to your post by a friend on the boards..(we look out 4 each other).

     Last week-end I popped a vein connected to the mammory artery and wound-up having to take ambulance to Hospital. I bled out into my MX site and it swelled up so big it felt like I had an extra person under my shirt! My BP was so low I couldn't stand-up w/o passing out and/or getting dizzy & throwing up. As I said, I wound up in surgery and had to get 4 units of blood.

    Point being...IF you start to feel dizzy, swelling more than you think you should, or throwuing up or any of the 3...call you BS & GET TO ER!. I nearly bled out and died cause I kept telling DH it was only a blood sugar crash.

    I DO mean to scare you but only with the best of intentions. 

    Best of luck!

    xoxo

    Lursa5

  • Eldub
    Eldub Member Posts: 276
    edited June 2009

    I also had a very large (4 inch) hematoma following stereotactic biopsy.  In my case, the bleed started during the biopsy itself - the doc hit a blood vessel and it took over an hour to get it to stop bleeding.  Arghhh!  When the surgeon saw it a couple of days later, he said it might take 6 months to resolve!  :(  But I had other ideas... What helped the most in my case was using arnica lotion on my breast where the hematoma was (I use "Traumeel," but I assume there are other brands) and getting a Shiatsu treatment.  I did the Shiatsu about 2 weeks after the biopsy (hematoma was still 2" or so wide) and left the office with it down to about 1/2 inch wide.  When I went back to the BS, he was really surprised that it was so small already.

    At the point I had surgery - 7 weeks after biopsy - the hematoma was pea-sized and didn't interfere at all.  (It was removed with the lumpectomy.)

    Hope that helps.  I was told there is only a 1% risk of a big hematoma like we had - somehow I didn't appreciate getting to be so special!!

    Linda

  • jogem
    jogem Member Posts: 3
    edited August 2011

    Thank you for the tip about arnica lotion and massaging the hematoma . .

    I developed a golf ball size hematoma and deep purple bruising all over my right breast following stereostatic biopsy and was told 2 weeks  later this might delay surgery . I was completely traumatised about this .

    After reading your post I bought Arnica lotion , arnica ointment plus homeopathic arnica pills . I massaged the hematoma  and the bruising a few times a day with the lotion or the ointment , took the arnica pills as directed , put warm compresses as well in the mornings and evenings before putting lotion / ointment 

    . 2 weeks later the bruising had disappeared and the hematoma was substantially smaller meaning I had scheduled surgery 4 weeks after the biopsy as  my breast surgeon could see the cancer .I have no bruising and no pain from the lumpectomy !

    11/08/2011 IDC  , 1.2 cm stage 0 , grade 1  0/3 nodes 

  • cyclemom3
    cyclemom3 Member Posts: 1
    edited October 2011

    Thank you for the suggestion of arnica cream. Had a stereostatic bipopsy yesterday for microcalcifications. Unfortunately they tried 3 tissue samples with 2 incisions and couldn't get to the actual calcification. Will see a BS next. Lots of bleeding from incisions after procedure and at home it started again. Quite messy, but used lots of direct pressure and it stopped after 15 minutes or more. Strapped my arm to my side with an ace bandage to keep from moving it as that's what triggered the bleeding. That helped. Notice the hemotoma when trying to stop the bleeding. I have been massaging it and using arnica cream, and it looks and feels better today, though it is still quite ugly with major bruising. Will try a warm compress on the hematoma now that the bleeding has stopped for 12 hours or so.                                                                                  

  • gypsy006
    gypsy006 Member Posts: 1
    edited January 2012

    I'm so glad I found this site and read about the hematomas.   I had two biopsies (different sites) in my right breast.   I've had a hematoma the size of a golf ball at one of the sites ever since. Blood vessel hit during the 2nd biopsy.  The hematoma immediately appeared and was developing even more during the mammogram that immediately followed the biopsy.  It's been 19 days but feel better knowing I can try the arnica lotion and warm compresses.  My breast is still pretty bruised and tender but definitely improving and the colors are primarily blue and red now :).  My diagnosis was ALH at only one of the sites and have been referred to a breast specialist/surgeon.  No rush, no malignancy the doctor said but he also said I may need a mastectomy.  I'm putting everything off until after my birthday next week.  Thank you very much for the information shared ladies!  xxoo to all!!!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2012

    Just wondering what the hematoma looked like. I ended up with an infection right after the core biopsy which required cipro antibiotic for 20 days. The doctor told me it was due to hitting a blood vessel during the core biopsy ( a hematoma )  but there was no visible bleeding. Do all hematoma's show visible bleeding?

  • morningsun
    morningsun Member Posts: 2
    edited November 2013


    I want to tell you how much it means to me to find this conversation about hematoma after stereotactic biopsy. The doctor told me not to worry. The PA said "It will go away," and hearing those words really have been getting me through when it feels like it never will. But it means so much more to hear from people that have actually experienced the pain and worry of it themselves and can say that it does go away. As soon as I read this, the tears just started to flow...ohh thank God other people have had this and it really does go away. I had my biopsy a month ago and my breast started hurting like hell around 3 weeks after and I'm taking Tylenol 3 times a day. I describe mine as a rock hard area around and below the incision site about 3 to 4 inches long. That whole area hurts plus my nipple feels like it's constantly in a vise. The PA I saw recommended I wear a sports bra day & night, and that has helped minimize pain from every little movement. The bra I wear is actually not a sports bra but similar and more comfy. It's Bali Comfort Revolution 3488. And no, I don't work for Bali. Just happy to pass on a comfy bra because we all know how hard those are to find....Nothing beats sitting down on the couch at night to relax and popping off that bra! Hopefully, soon I will be back to that. I'm scheduled for surgery in 3 weeks for an excision all biopsy, and they say the chance of hematoma is much less for that. Thank you all once again.

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited November 2013


    hi morningsun. Why don't you join us on the "not Diagnosed But Worried Thread"? This is a very old thread and the posters are no longer active and probably won't respond to you. You'll get support there for your upcoming excisional biopsy.

  • morningsun
    morningsun Member Posts: 2
    edited November 2013


    Thanks so much, Melissa. I'll check it out!

  • 2ndGenBCA
    2ndGenBCA Member Posts: 40
    edited January 2016

    Thank you for the discussion and the information about hematomas after stereotactic biopsy. I developed a golf ball sized hematoma that I felt immediately after the biopsy. I was in the most severe pain that I could barely handle it. I drove from the facility to the pharmacy and waited for the four tablets of pain killer - folded over in tears as I waited for the rx because there was nothing else I could do. I took the percoset and didn't get a bit of relief until several hours later after some additional Tylenol (not my typical painkiller, either but I was told NOT to take ibuprophen for 48 hours). I iced it repeatedly for the next two days. That produced some pain relief, but nothing prepared me for the beet-red bruising that engulfed my breast. 

    It is now two weeks since my biopsy and the hematoma has not gone down despite my intermittent heat pad applications. My husband drove me to Hi Health to get the arnica cream tonight. I'm hoping it will provide some relief from the nagging pain deep in my breast and reduce the size of this hard lump under my skin. Any other suggestions are greatly appreciated. I visit the BS tomorrow to learn more about recommended course of treatment for my DCIS dx.



  • MarcellaPa
    MarcellaPa Member Posts: 100
    edited January 2016

    I'm sorry you are experiencing this pain and discomfort. I also had a hematoma after my stereotactic biopsy and tried to manage it with tylenol and a tramadol at home initially. After I swelled to twice my size and was in significant pain, I contacted the breast center and was directed to come in to be examined. I ended up being transported to the emergency room where a breast surgeon removed the hematoma surgically. It took weeks of bruising, soreness and swelling to return to normal but now I am almost back and planning my DCIS lumpectomy. i was told it was rare to have a hematoma bad enough to require surgical intervention. Lucky me...smile.

    I'm sure your BS can provide some relief tomorrow that goes beyond creams and painkillers. Know that there is an end to your discomfort.

  • leenso52
    leenso52 Member Posts: 31
    edited February 2016

    During my first stereotactic biopsy the radiologist hit a blood vessel with an ensuing hematoma. I bled profusely for a while but this was during the procedure and handled with pressure. After a while he attempted to do another one on a second suspicious collection of microcalcifications, same breast, but could no longer locate the collection as there was too much blood. It was partly my fault as I had been on Ibuprofen for a dental procedure for several days and misrepresented the truth about when I stopped taking it, only 3 days before. I was already a wreck about the mammogram findings and did not want any delays in diagnosis. Well, this hematoma was large and ugly and although it did eventually resolve it wasn't for a few months. My surgeon would not even get a repeat mammogram until it resolved. Lesson learned is obvious. I do not take Ibuprofen for one week before, or even after any procedures. This lead to a treatment delay and much anxiety and stress, and too much time to research everything I could get my hands on. Bleeding from this type of biopsy is not that uncommon. The breast is very vascular, some even more so than others.

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