Core needle biopsy today, now the wait...
I had a core needle biopsy done today of a 3 mm nodule in a duct directly under my left nipple. It was only discovered because I was having occasional spontaneous discharge at night (a few drops on my nightshirt in the AM), so they did an US with my mammo. Discharge was not bloody.
For others like me who are looking for info on how the biopsy went and what to expect, I'd have to say it was a very easy experience for me. I did opt to take an ativan (mild sedative), just because I'm not good with needles and I was not sure how well I'd be able to relax and ignore what was quite literally taking place under my chin without it. It did not make me noticeably groggy or out of it; quite frankly, until after the procedure was over, I didn't really notice any effects at all ... my only hint that something was different was slightly delayed reactions to things on the way home. They gave me the ativan at 11:30; the procedure started at 11:45; I was bandaged up and walking out by noon. The only pain/discomfort I felt during the entire thing was the needle that injected the local anesthetic, and that was not bad. The nurses/techs/surgeons were all great ... they talked me through the entire process and didn't do anything without telling me what was happening (I chose also to close my eyes). They took about 5-6 samples (I lost count); the first one they remarked was all fluid ... and apparently the nodule "deflated" immediately. By the end they were really searching for things to sample. The only thing I felt throughout was just pressure -- I wouldn't even describe it as uncomfortable, just noticeable. Instructions going home were to keep an icepack in my bra for 5 hours. No showering for 24 hours. No lifting or vigorous activity for 2 days. Wear a bra even when sleeping for 48 hours. So far all I've taken is a Tylenol (preemptively), and I've had no discomfort/pain so far (7 hours later).
So now I wait until the test results are available next week, and decide what to do from there. It sounds like even if the biopsy is clearly benign, it is still in my best interests to have the offending duct removed to (a) eliminate the discharge (although the doctor did say that given how much the little monster deflated/receded/was eliminated by the biopsy process, that might be enough to eliminate the discharge by itself; and (b) to be sure that the needle biopsy was completely correct and there is nothing else lurking in the duct that was not sampled. A bit of reading (I know, very dangerous...) sounds like while most of these things are benign, there is like a 1 in 10 or so chance that even a benign biopsy finding ends up finding cancerous or precancerous cells upon excision. So, better safe than sorry, I suppose. Any other advice or words of wisdom? My mom (a former nurse) is concerned that I be very proactive about this and seek multiple opinions, etc.. I fully intend to if the findings warrant it. At this point, so far I don't have a diagnosis and everything points to it being very superficial and very likely benign and a routine sort of thing. So I'm holding off on thinking about where to go for the next opinion until I know something. Am I being naive? She said its a good idea to have a 2nd pathologist look at the slides and evaluate them independently. Sounds reasonable to a point, but if I'm going to have it excised anyway, is there really any need for that?
Thanks!
Comments
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runningmom2,
I'm so glad the experience wasn't so bad for you. Thanks for sharing it with me. I go on the 25th to consult with a surgeon and hopefully come up with a game plan for a biopsy. I have a feeling he'll suggest a lumpectomy which I'm starting to think may be the best way to go. I'm feeling a little odd about requesting that from the jump instead of doing a needle biopsy first and then having to have it removed anyway. As far as I'm concerned they can send it to pathology once they get it out of me. I struggle to know that I have the right to ask for what I want in this situation, but I'm going to anyway. If he can give me valid reasons for doing the needle biopsy first then, of course, I'll do that but not without being well informed. I am going to ask him if his intention is to definitely remove it either way then I'd rather him just go on and do it. So, I'm in the same boat as you. Don't poke around on me x number of times just to conclude what you knew already.
Can I ask if there was concern about the small size of your lump and being able to obtain enough material to analyze? Yours is even smaller than mine and I'm concerned about that. I fear they'll poke around and not get it. It has to be easier to get a biopsy on a sizable tumor? I already know that it will have to be an ultrasound guided biopsy which I'm guessing indicated that it's harder to find.
Well, I'm sending you healing thoughts and prayers and many thanks for sharing. Oh, did you ask for the ativan when you scheduled the biopsy or was that something they just offered day of. I totally don't like the idea of a needle going into my breast.
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Runningmom-
We want to welcome you to our community here at BCO! We know the wait is so difficult, but we hope you get benign results, and can move forward with deciding how to best proceed. We'll be thinking of you!
The Mods
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notnow, I went straight to excisional biopsy/lumpectomy. My rating was birads5, and I figured with a 95% chance it was cancer, I wanted the least amount of procedures done so I could stay as healthy as possible. I don't understand the biopsy the lump, then remove the lump. Why go through two procedures? I've even seen women with fibroadenomas have to get them removed, so I fail to see the value of the biopsy. Even my daughter went through this, and ended up having to have surgery to get a fibroadenoma removed. The two step process doesn't make sense to me when they know there is something in there they are going to remove. Unless the lump is large and they are trying neoadjuvant chemo to shrink it first
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Italychick,
I am going to start a new thread so runningmom won't get highjacked. I so hope you'll respond to me there as I share your thoughts and really want to be prepared when I go speak to the surgeon. It's late here. I've no idea what time zone you are in, but I'll start it tonight.
Many thanks, and once again runningmom, thanks for sharing your biopsy experience.
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notnow, when I asked my surgeon about why to biopsy first, she said because the extent/techniques she'd use in surgery would depend on what they find on biopsy. If it comes back benign, she still recommends having the duct removed, but she can use a very minimalist technique because she doesn't have to worry about margins. If it comes back showing any atypia, then she'd be wanting to take more margin; if it comes back showing malignancy, then the extent of the surgery would be different still. But, she said less than 20% of intraductal growths like mine are anything other than benign. The other advantage of the biopsy, in my view, is that it gives me time to get some additional information and have some basis for consulting with other doctors. At this point I don't anticipate pursuing a 2nd opinion unless it comes back as something other than benign ... although I might talk to other surgeons if she will only do the duct removal under general anesthesia; I've read of other surgeons doing it under IV sedation for solitary, superficial duct removals, and I'd prefer that over general, I think, if I can get away with it.
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And regarding the ativan ... they told me when I scheduled that it would be offered to me, and I could decide when I got there. The only thing was that if I thought I might want ativan, I had to have someone come with me because I couldn't drive for 6-8 hours afterwards. I'm glad I did it. I might have been fine without it, but I was fine with it and there were no big side effects for me, so it was a good decision for me.
Took the outer dressing off this afternoon and showered. Still no pain. No bruising. No swelling. No discharge or bleeding. So thankful it has been this easy....
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I had core needle biopsy done on right breast on 8/21/15 . And now I anxiously wait for Wednesday to come. I'm trying to think positive but my thoughts are constantly on what the results could be. My doctor said that after 3-D mammogram and ultrasound that it measures 1mm however I'mscared to death because I don't know what to think. I'm concerned that I am not getting enough information.
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To the ladies waiting on results- I just went through it. Looks like I'll have to go through it again soon, but I survived. I didn't think I would. Thought my heart would give out. Best thing to do is stay distracted if possible and reach out to everyone and everything you love. Whatever the results might be, you've already proven yourselves stronger than most.
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Serenity and KittyLover-
We just want to welcome you both to our community here at BCO! We know the wait is hard. We hope the time passes quickly, and that you get the results you're hoping for!
The Mods
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Serenity814, I have the same concerns. Realistically I don't think anyone is withholding anything from me but darn this takes so long. I'm guessing they just want to make sure we get the right information. I'm thinking of you and hoping you hear good news Wednesday.
Kittylover7, I admire your courage. I don't think I have what it takes to do this even once, let alone twice. I'm sending you some healing thoughts and prayers.
Runningmom, You have raised some really good points about forming a plan of action. I hope I made the right decision to have the biopsy. I guess we just do the best we can with the information we have. How are you feeling now?
Italychick, You are one brave soul. I just couldn't wait without totally obsessing. Though I probably will end up believing I opted out for an additional test I am now glad that I will know something tomorrow. I'm beginning to see that patience is not one of my strong points. Many thanks to everyone here who takes time out of their day to help me and others. Bless you all.
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