Does an MRI core biopsy hurt?

cuddyclothes
cuddyclothes Member Posts: 160
edited June 2016 in Just Diagnosed

I was told by another BC survivor that a MRI core biopsy hurts so much because of the radioactive dye that I should be sedated or given a really powerful painkiller. Who has had this experience? I've had a diagnostic mammogram on my right breast after an MRI found something. I had BC last year in my left breast.

Comments

  • BarredOwl
    BarredOwl Member Posts: 2,433
    edited June 2016

    HI cuddyclothes:

    I suspect the person was thinking of the in-breast injection of the radiotracer for sentinel node biopsy, which is totally different***. MRI is "magnetic resonance imaging". It depends upon magnetism (as in big, noisy, clanking magnets). It does not rely on radioactivity and does not use a radioactive dye. It may use a contrast agent. I felt a cool sensation in my arm as the contrast agent was injected and nothing else. I was not sedated, and only local painkillers were used. The breast pain due to the vaccum-assisted biopsy sampling was similar to that from mammography-guided stereotactic core needle biopsy.

    BarredOwl


    ***which I note also did not require sedation or painkillers

  • cuddyclothes
    cuddyclothes Member Posts: 160
    edited June 2016
  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited June 2016

    My breast center does not prescribe sedation or painkillers for needle, core or MRI biopsies, beyond the local used in the procedure. It can cause complications and prevent women being able to drive after the procedure is completed.

  • Mom2fourplusmore
    Mom2fourplusmore Member Posts: 183
    edited June 2016

    I didn't have any pain meds. I wish I had. I won't lie. That hurt like a SOB. And I've done a lot in my life. But you need to take a few things into account. My lump was on the chest wall and it was almost on my side so they had to really yank the skin. But even with all that, I was perfectly fine the second they stopped. It will hurt but you will be ok

  • Suzted7
    Suzted7 Member Posts: 44
    edited June 2016

    I'm with mom2four. It depends on where the lump is I think. I also had a lump right on my chest wall and I'd rank the pain right on up the list under having my daughter natural and a really really bad toothache. I was NOT ready for that. They gave me a xanax before it. Did NOTHING. BUT.....just like having a baby.....the minute it was done...the pain was gone and there wasn't any after either....like hours later. No pain. Sorry....I just don't sugarcoat anymore....lol......Let us know how it goes!

  • dtad
    dtad Member Posts: 2,323
    edited June 2016

    Melissadallas....never heard of not being able to take a little something! Who cares if you can't drive and have to take someone with you. That's the worse excuse I ever heard of. I took something and it really took the edge off. Maybe your PCP would prescribe something. Good luck

  • Ingerp
    Ingerp Member Posts: 2,624
    edited June 2016

    I was a little confused by the original post too. Before the MRI I got an IV (just a pinprick) and at some point they put the contrast material in. I think everybody gets some lidocaine/local anesthetic before a biopsy. It's not fun but it's not bad.

  • MelissaDallas
    MelissaDallas Member Posts: 7,268
    edited June 2016

    I am always bothered by how many people I see here urging others to try to get their doctors to give them potentially addicting drugs to cope with the brief anxiety of waiting on a biopsy for a most-likely benign condition. The vast majority of women come back and say the biopsy itself turned out to be no big deal and the vast majority of the biopsy results come back benign. We should be reassuring them and trying to help them put the process in perspective. I personally saw no point in getting someone to spend hours sitting in a waiting room while I had a procedure that is little more invasive than a blood draw

  • HuskerFan
    HuskerFan Member Posts: 85
    edited June 2016

    I had an MRI biopsy and aside from the pinprick feeling when they administered the lidocaine, I didn't feel a thing.

  • Maya15
    Maya15 Member Posts: 323
    edited June 2016

    Honestly for me it was by far the most painful experience I've ever had, so much that I fainted during the procedure and it took me 45mins to come round. But it wasn't because of the contrast agent but because the lump was deep in the breast, the lidocaine local anesthetic didn't work and I could feel absolutely everything. I'm not saying that to scare you but more to recommend a couple of things to avoid what I went through. Don't let them put earplugs in you. I couldn't hear what they were saying so I couldn't communicate with them when I was in trouble. When they do the biopsy part, they take a number of samples. Ask them to stop immediately if you feel any pain, and inject some more lidocaine before they continue. They will explain the procedure before they start, and you can ask them what to do if you feel pain (but don't try to move because they use the MRI to locate the lump, so you need to stay still so they get the right place). For me even a strong painkiller wouldn't have helped because the pain was so sudden and strong. And once it's over your breast will be bruised but it doesn't hurt. Sedation on the other hand, I would welcome if I had to do it again just because my last one was so terrifying, but for the majority of people that's not the case.

  • cuddyclothes
    cuddyclothes Member Posts: 160
    edited June 2016

    Thanks, everyone! My procedure will be around 7 am. I have sedating drugs (that I mostly use for flying), so I'll probably take them. My husband is going with me, so he can pour me into a cab. Do they use radioactive dye or simple contrast? In the original MRI they gave me contrast and I didn't feel much of anything, just a little warmth.

    My previous ultrasounds and core biopsies were awful experiences because the lumps were hard to find and one kept sliding behind the other. I was black and blue after each time.

  • Blueorange
    Blueorange Member Posts: 76
    edited June 2016

    Hi cuddly,

    I had an ultrasound assisted core biopsy. It ended up being a double biopsy as they found a second area. The first was uncomfortable, but not painful. The second was close to my chest wall and very small. That one hurt pretty badly. They gave more local to numb it, which helped. I guess it depends on where it is, and each persons situation is different. I hope you don't feel much or any pain!

  • Smurfette26
    Smurfette26 Member Posts: 730
    edited June 2016

    Just check with your imaging centre that it's ok to take sedatives before you have signed the consent. A friend of mine was asked to come back on another day after revealing she had taken medication that the centre said may impair her ability to fully understand the procedure and associated risks; and to give informed consent.

    Wishing you well.

  • Maya15
    Maya15 Member Posts: 323
    edited June 2016

    The dye is simple contrast, the same as they use for the original MRI. It's not radioactive.

    MRI biopsies are a bit harder than ultrasound ones because you're lying face down and strapped in so you can't see what's happening around you. When I subsequently asked my imaging center about taking anti anxiety meds before biopsies, they said it was fine and encouraged it.

  • cuddyclothes
    cuddyclothes Member Posts: 160
    edited June 2016

    Thanks, everyone. I was given a very strong dose of Ativan and a lot of anesthesia. There were two spots. I'm not sure where they were in relation to each other, just that both on the outside of the breast. Afterwards I had a mammogram. The whole thing took about 2 hours. My husband came with me and took me home. I spent the rest of the day sleeping it off.

    I can hardly move today. I don't know if it's the aftereffects, grief over Orlando, or being re-traumatized.

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