Scared of biopsy! (atypical ultrasound)
Just had my diagnostic mammo followed by ultrasound. And apparently, the two lumps were a bit atypical. Both looked like fibroadenomas but not entirely. Lump 1 under the nipple which is round and around a couple of cm had some cystic parts (may make sense given the nipple discharge I have been having). And Lump 2 is oval and slightly larger but has some "ridges" on it. Not fully circumscribed like fibroadenomas. The doc said neither are cysts. My head is spinning worrying about the remaining possibilities because I had really hoped they would turn out to be cysts!
Have to schedule a core needle biopsy soon. In general, I am very fearful of needles and anything invasive. I wish they could put me under for the biopsy but I understand it will be local anesthesia. This fear of pain combined with the fear of having a malignancy is driving me nuts.
Anyone here with an atypical fibroadenomatous lump on ultrasound? Hearing your experiences will make me feel a bit better. Also, how much does a core needle biopsy hurt? Super worried!! ![]()
Comments
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Hi sadwife,
Do not worry about the biopsy, it should not hurt, I just had my first done last week and it went fine, quick and painless. They will numb the area, so please do not worry about that. I am waiting for my results this week. They found something highly suspicious of malignancy, about 1cm. The wait is hard, but try not to be scared of the biopsy. I was and it went just fine. Hoping for the best and keeping my fingers crossed for you.
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Sadwife, I hate needles too and was really scared myself. Throughout the biopsy I just closed my eyes and thought of happy memories and it really wasn’t bad. I read this quote on this site...You don’t have to be brave just show up. I have found it comforting. Good luck.
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@ltrinidad & @smc123, thanks so much for reassuring me! This is a silly question but do the numbing needle pricks hurt much? One of the lumps is right below my nipple and that is a particularly sensitive area. ltrinidad, sending positive thoughts your way! And smc123, you have had a long journey, thank you for sticking on and helping folks like me.
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Dear Sadwife,
First off, try and roll back your fear, take a breath and compartmentalize each step. First, yes, I have had maybe a dozen core biopsies and no, they are not pleasant but certainly not painful or anything to be afraid of. The numbing is a prick for about 3 seconds then you feel nothing. Like seriously, nothing. You will hear a click which is the biopsy appliance. I had a biopsy on an atypical mass last week as a matter of fact that showed up on my routine screening.....benign. Fibroadnoma. I have 4 surgical clips between two breasts as markers of where they biopsied and found nothing. My most recent was below my nipple about 2cm and they went in from the armpit side of my breast. No discomfort during or after. The likelihood of finding malignancy is far less than the likelihood of finding it was just an exercise in caution. And, over 80% of biopsies are benign. Hang in there. Deal with today today and then then. Cheers, Liz
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Truly you will be fine going through the biopsy process... Ice, ice, ice afterwards and that will make a big difference once you get home. They should give you a small ice pack to take with you.... Most of us posting on this site have done pretty well with biopsies .... You're in good company!
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Thanks so much everyone!! Makes me feel a bit better after hearing from you all. Will keep you posted on my story.
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Sadwife - I can sooooooo relate to the fear of needles and what you are going through. I had a punch biopsy and it was numbed up first with about 3 local shots, and I did feel them sting a bit - not bad, but I noticed it. I wound up having to do some deep breathing and the surgeon asked his assistant to hold my hand and talk to me, etc. I also wound up with a couple of stitches. I got through it though, and I agree with what smc said above, "Just show up, you don't have to be brave." I showed up, got it done, and was more than glad when it was over.
I would suggest telling them about your fear ahead of time and seeing if there isn't something they can do to help. Since mine did turn out to be cancer, I had a port put in for chemo, and with the port, they prescribed a tube of lidocaine cream that I can put on an area before a needle hits it. It was supposed to just be used for the port, but since I had a bunch left, I have used it for IV's, blood draws, etc. You name it, if it involves a needle, I slather that lidocaine on the place the needle will be used about an hour ahead of time (slather it on and cover with saran type wrap or Tegaderm). It has helped me so much, that I asked my oncologist to prescribe me a new tube, as the old one expired, and she did. I even used it for my first Covid vaccination a few weeks ago, and am planning to use it again this Friday when I get my second shot. Some nurses I've encountered and told them I had the lidocaine on there were totally baffled and had no idea what it was or why I did it. Others said they thought it was the greatest thing and that they were glad I did it, because I didn't feel anything when they put in IV's, etc. It makes me odd to the medical people, but so what?
I am a big baby when it comes to needles and invasive procedures, like you talked about. I don't care if people think I should "grow up", "take it", and put on my big girl pants, etc. Needles and such just freak me out. It's not just the physical pain, there is a real psychological factor there too that I don't think a lot of people consider or understand. Because I told my surgeon of my fear ahead of time, I was able to have my chemo port put in and taken out in the operating room, so I didn't have to go with just a local. He also arranged to have the blue dye they inject if you have breast surgery, once I was "under", so that I wouldn't have to feel all those needle sticks. I strongly suggest that you check with your dr ahead of time and also look into getting a tube of lidocaine cream - it helps me with both the physical and emotional troubles that I have with needles.
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Great advice ThreeTree! Also, ask for some valium to take before your procedure. Ativan and xanax only seem to work for people half of the time. Best wishes.
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Amazing advice ThreeTree! Thank you! SadWife, breast area of biopsy will not hurt, just pressure & noise. Lymph node part is different for some people. Like others had mentioned above, tell them you are sensitive and they may add extra numbing for you, my 2nd radiologist did this and I did not feel a thing in the lymph node. Not all radiologists are created equal. Have someone drive you if you can, so that you can ice it right away in the car ride home, it will feel good to put pressure on it right away and icing feels so good. If driving yourself (doable), put ice pack in the bra on the way home (take a hankerchief to wrap the ice pack) Good luck, don't be afraid, you will do great!
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Ok, I'm the dissenter. I had 5 or 6 spots biopsied and 1 hurt. Not catastrophic, totally bearable, but ouch!
It wasn't a big deal, and I'd do it again in a heartbeat, but it isn't fair to say they never hurt at all. My tumor was very vascular, and those can hurt a little.
Don't worry, but don't be shocked if it hurts just a little. I have done a million things that hurt much worse!
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I really appreciate all the replies and the tips!! Going in tomorrow. One more question - I sleep on my stomach and sometimes on my side. Never on my back. After the biopsy, is it possible to sleep on your stomach or side? Any suggestions?
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Hi! Good luck tomorrow... sending lots of positive vibes. I had an ultrasound guided biopsy and honestly it's more in the mind... the mind takes over, it happened to me but in all honesty it's not painful just a little uncomfortable... it'll be sore for day but totally bearable. Nothing that really needed any type of medication. Please update us..... Im going for my second biopsy Tuesday Hope it all just precautions they are taking.
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Hello, like you I had a diagnostic mammogram and ultrasound, This led to a biopsy. Going in, I was expecting a needle aspiration and the radiologist told me that now they were going to do a core needle biopsy (CNB). That gave me pause, but I like the center that I go to and feel they are the experts. They answered all of my questions. They are well aware of the stress the procedure and the unknown cause.
They began with the ultrasound to find the spot and guide the biopsy. The doc prepared the skin for the biopsy with antiseptic and gave me the injection of lidocaine. She told me to prepare for the pinch. I felt a little but nothing too bad. She then told me when the biopsy needle would be going in and told me to let her know if I felt anything. I felt a little something and told her and after that nothing.
I watched the ultrasound image. The spot actually disintegrated upon contact. She told me that I would hear a click as she took the sample. She also told me that they would place a clip in at that time and why. She let me know when that was placed.
After the sample was prepared, the doc left the room and the nurse came in for after care. She had a student nurse with her and asked my permission to observe. I had no problem with this. In fact, I think it is great that I could help her learn. The nurse placed the steri strips and gave me after care instruction.They asked if I was feeling faint. Then, I was offered a drink and crackers. I felt very cared for.
Next, back to mammogram to make sure the clip was placed correctly. This is so any further docs can see exactly where the problem is instead of having to approximate,
After this, I was done and was told my results would be forhtcoming. I had very little pain and iced as directed and had no swelling or bruising.
Have faith in your clinicians and ask every question that will help you.
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Hugs to everyone who responded with encouragement! And if there are others like me who are very scared of the biopsy, I can say don't be. It is not as bad as I imagined. One of my lumps was right below the nipple and they said that would hurt a bit during anesthesia, but it was tolerable although I have very poor pain tolerance. I winced a couple of times but it was like getting any shot, no worse. In the end, I actually told the doctor that it was not as bad as I had feared and he was happy to hear that.
Post-biopsy, I had some soreness but again, nothing intolerable. Tylenol helped during the day and I took Tylenol with a sleep aid at night. I was able to sleep pretty much in any position except on my stomach. In a couple of days, I could do that too. I applied the cold packs religiously for 24 hours. And they really helped. Instead of rectangular packs, I would recommend purchasing the ones where you fill them with ice. Those are more likely to take the shape of the breast more easily.
They said my results would come back Friday but if they don't, then I would have to wait until Monday (tomorrow). The wait is truly the worst part like everyone says. I am outwardly pretending to be normal because for some reason, I feel like the more I talk about it, the worse I feel. But every couple of hours, my mind goes into a spiral.
I will let you all know how things go when my results are back. Praying!
You are all awesome for reading these posts and trying to help everyone out with your advice!
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Soooo glad the biopsy went pretty well from what you said! So it sounds like you're expecting results today??? Please let us know in your own time.....
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OK so the results are back. I am not completely out of the woods as it is intraductal papilloma (both lumps!). For someone with clear nipple discharge + lumps, this is a likely diagnosis and I had it on the top of my list for a while. At the age of 43, it was a bit unlikely to be fibroadenoma and those don't cause nipple discharge. Fibrocystic disease possible but my breasts weren't all that painful plus the ultrasound results didn't match up with that.
Need to see a surgeon to figure out whether I need lumpectomy because these lesions sometimes do turn out to be malignant when examined post-excision. Will create a separate post about this when I learn more. In the meantime, anyone here with a similar diagnosis? Would love to hear from you on how you made that crucial decision.
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Lots swirling in your mind sadwife - understandably! I hope you get some answers soon - seems you're preparing yourself for a lumpectomy.... I hear you ruling out a fibroadenoma in part b/c of your age. I was diagnosed with one in my 40's. Another one was found in my late 50's though not with the nipple discharge so the intraductal papilloma may be more what yours is......Wishing you the best and thanks for keeping us in the loop!
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Newbie here. Joining this thread as I had 3 biopsies today and, while they were very comforting during the procedures, I was still a big baby. Great explanation on what happens in comments above! I’m following the ice advice to a T.
They said to take it easy, no shower for 24 hours. Including cooking & cleaning so I had her note that is for a week to joke my fiancé. Lol
Waiting is the hardest part but the Dr says she’s 95% sure it’s cancer in 2 masses on left. Non committal on type until pathology so I understand. Trying to avoid Dr. Google.
So happy to find this group!!
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For everyone who replied to me, just wanted to update you all that I am done with the lumpectomy. Thanks for your support!! My experience here - https://community.breastcancer.org/forum/91/topics/879735?post_creation=true. Overall was +ve other than the minor fears and worries along the way.
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Thanks for the update sadwife! I hope you heal well!
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