Scheduled to meet with Surgeon before Biopsy?

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Autumn11
Autumn11 Member Posts: 7
edited December 2014 in Waiting for Test Results

I am a 45 years old. Both my mother and grandmother both had pre-menopausal breast cancer. I was going to meet with an oncologist to discuss having genetic testing done and if I was a carrier for the BRCA gene, my plan was to opt for prophylactic bilateral mastectomy. These plans were changed when two weeks ago, I felt a discrete hard attached lump in my left breast. I had a mammogram on Dec 10th. I returned to have additional mammogram on Dec 12th and immediate ultrasound. Following the ultrasound, I was scheduled for a surgical consult with a biopsy to follow. I didn't ask too many questions as a cancer diagnosis doesn't scare me and I am fine with dealing with whatever the outcome may be. The problem is that the first available appointment is December 29th. I find that while I am not worried, I am finding myself trying to figure out what the prognosis may be so I can make the appropriate plan. I realize it may sound like I am putting the cart before the horse. I realize that 80% of biopsies are not cancer. I am just trying to sort it all out and since I can't call the hospital until Monday, I was hoping someone could explain to me why I would meet with a surgeon before I have a biopsy?

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  • Sassa
    Sassa Member Posts: 1,588
    edited December 2014

    My biopsy was done by a surgeon so I had to meet with him to go over the mammogram and decide what was going to be done.

    We discussed the different biopsy methods and I decided on an excisional biopsy (a lumpectomy when done for biopsy purposes).

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    oh - that makes sense. I guess the reason I was confused is that my appointment with the surgeon is at 9:15 in his office and then following that appointment I go to the breast cancer center in another location at the clinic where the biopsy will be done, but my biopsy is not scheduled until 11:00am. it seemed like a lot of time in between. another question, do most people return to work following a biopsy?

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    kayb. that makes sense as well. The lump feels extremely small (very small pea size and rock hard) so I was wondering how they could possibly get any tissue from it for biopsy.

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    The nurse who scheduled the biopsy said that it was so long because this time of year, people who have met their insurance deductible are having elective surgeries and thus the surgeon's schedules are booked. Definitely frustrating!

  • Sassa
    Sassa Member Posts: 1,588
    edited December 2014

    Autumn,

    If an excisional biopsy is done, you will have some form of anesthesia to put you under. I had Versad.

    You will be woozy for a while post-op and your will be in pain from the biopsy.

    I doubt you could return to work that day and may want to take the next day off as well.

    Your surgeon will tell you when it would be safe to return to work.

  • Sassa
    Sassa Member Posts: 1,588
    edited December 2014

    An added note, if you have an excisional biopsy, the surgeon may also want guidewires and dye placed in the breast.

    This is done while in a mammogram machine, but the breast is numbed and the procedure does not hurt.

    I had 4 guidewires placed before my biopsy.

  • tgtg
    tgtg Member Posts: 266
    edited December 2014

    The standard procedure at my hospital is to have an ultrasound following a suspicious recall mammo, then meet with the radiologist and breast navigator; the latter then sets up an appointment with one of the breast surgeons at the hospital who orders the biopsy. So this sounds like your schedule, including the fact that all of this transpired between Thanksgiving and Christmas. After my recall mammo and ultrasound on 12/4, the navigator set me up for a visit with the surgeon on 12/7 for a clinical exam and history. I had the ultrasound-guided needle biopsy on 12/17; the surgeon gave me the bad news on 12/21 and on 12/28 we set up my lumpectomy for 1/7, his first day back in the OR after the holidays. So basically a month elapsed between the recall mammo/ultrasound and the surgery.

    As for returning to work, depends on the type of biopsy you have. Most gals have spoken about excisional ones, which are more complicated. If you have an ultrasound-guided needle biopsy, you can do pretty much anything you want, since it's done under local anesthesia (like lidocaine) and is quite a non-issue--the mini ice-pack they gave me to stick in my bra worked just fine! tgtg

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    I spoke with the clinic today. Given my risk and previous history (Cervical Cancer 20 years ago), they agreed that waiting two weeks was not recommended. I meet with the surgeon tomorrow and have biopsy Wednesday with results hopefully by Friday. Scheduled for a core biopsy so I should be able to return to work. I am so glad I called and don't have to wait and try to get through Christmas without knowing. I am a planner so one way or another I want to know so I can do what needs to be done. Thanks everyone for your support. This forum is amazing.

  • Hopeful82014
    Hopeful82014 Member Posts: 3,480
    edited December 2014

    I'm glad you could get your biopsy moved up. The waiting IS awful and with the added delays due to holiday closures it can be even more miserable.

    You should be fine returning to work after a core biopsy, although you'll probably do best if you avoid heavy lifting and such activities as jogging and vacuuming for the next day. Usually you'll be given an ice pack and instructions to use it 20 minutes on, 20 off for the next few hours. It DOES make a difference to do so. Also, avoid any blood thinners such as aspirin, NSAIDS and fish oil until after your biopsy in order help avoid bleeding/hematoma.

    You may be pretty shaken up afterwards and, if you took ativan or similar, it might be a good idea for someone else to drive you.

    Good luck. I hope we won't see you back here except to report that everything's o.k.!

  • proudtospin
    proudtospin Member Posts: 5,972
    edited December 2014

    Autumn, I agree that while the procedure is not horrible in itself, the event did make me tired from the stress~~~I do not think I sent back to work after any of my biopsies (I have had a few) as I wanted to just dedox from the event

    be nice to yourself and lordie do not stress or push too much, there will be lots of things upcoming, good luck, yeap, this is a good place for support!

  • Sassa
    Sassa Member Posts: 1,588
    edited December 2014

    Best wishes, Autumn.

  • quiltlibrarian
    quiltlibrarian Member Posts: 174
    edited December 2014

    Autumn I have done both. that I went to work after two (four core each time). I found that I had more pain when I went to work after. Last Friday I had another core biopsy 9 done and went home after. I had little discomfort with this one. I did find I was pretty tired for the last couple of days though.

    Good luck with your tests.

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    I met with my surgeon yesterday and I have my biopsy today. Fortunately, I will know my results by Friday. It is so funny how the brain works. We humans really don't like living with uncertainty. We love predictability and thus the wait is so difficult for us. There are moments I am 100% positive that I have breast cancer and and planning my next moves. Then the pendulum swings and I scold myself for making such a big deal out of what in 80% of the cases is benign. But then I tell myself to stop being in denial, the lump in my breast does not fit any of the benign characteristics so it has to be cancer. What else could this hard, fixed, non-movable, asymmetrical, not painful lump be? Wow, we humans are are an amazing species.

  • HopefulonBay
    HopefulonBay Member Posts: 22
    edited December 2014

    I am wishing you the best and hope to hear that all is well for you. Hugs!

  • Autumn11
    Autumn11 Member Posts: 7
    edited December 2014

    I finally heard back from my surgeon at 5:30 this evening. He said the results were benign and there was nothing to worry about. I am relieved but when I asked what it was he didn't really know, just that it was benign. When I asked what follow up should be, He suggested since I couldn't feel the lump that it was nothing to worry about. BUT I can feel it that is why I went in for mamogram. Then he said that I should have another mamogram to check it in 6 months. BUT the mamogram did not show the tumor. So while I am super relieved, I do not think I will go back to that Doctor. I will be able to see the full pathology report on Monday so that will help. I have the BRCA test scheduled for January 30. Depending on those results I will see where I need to go or who I need to see.

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