Breast Biopsy by Needle Aspiration

BASIC INFORMATION

DEFINITION
Removal of fluid or tissue from one of the breasts. Needle aspiration are often the best first step for diagnosis of any problem.

REASONS FOR PROCEDURE
Diagnosis of a thickening or lump so that treatment and follow-up can be properly planned.

RISK
Non expected.

DESCRIPTION OF PROCEDURE

  • A local anesthetic will usually be administered.
  • A small hollow needle is inserted into the thickening or lump.
  • If the thickening or lump is a cyst, fluid usually can be removed and the cyst will shrink or disappear. This is often considered both diagnosis and therapeutic.
  • In some cases, the removed fluid is sent to the laboratory to be examined for abnormal cells.
  • If a solid tumor is detected, tissue is removed through the needle for laboratory examination
  • The needle is withdrawn; pressure is exerted on the site of the biopsy, then a bandage is applied.

EXPECTED OUTCOME

  • Usually, the results will show normal breast tissue without abnormal cells. Most lumps are fluid-filled cysts.
  • Abnormal tissue may exhibit a wide range of benign or malignant cells and follow-up tests will be conducted to determine the exact diagnosis.
  • Expect complete healing from the procedure without complications.

POSSIBLE COMPLICATIONS

  • Infection in surgical area (rare)
  • Collection of blood (hematoma) under the skin where needle was inserted.

POSTPROCEDURE CARE
GENERAL MEASURES

  • Use an electric heating pad or a warm compress to relieve minor pain in the surgical area.
  • Bathe and shower as usual. You may wash the area of needle insertion gently with mild unscented soap.
  • Wear a supportive bra. Apply bandages to the biopsy site, and them as directed.

MEDICATION
You may use nonprescription drugs, such as acetaminophen, for minor pain.

ACTIVITY

  • To help recovery aid your well-being, resume daily activities, including work, as soon as you are able.
  • Allow about 1 week for recovery from surgery. Avoid vigorous exercise for 2 weeks after the procedure.

DIET
No special diet

NOTIFY YOU OFFICE IF
Any of the following occurs:

  • Pain, swelling, redness, drainage, or bleeding increases in the surgical area.
  • You develop signs of infection: headache, muscle aches, dizziness or a general ill feeling and fever.

BASIC INFORMATION
GENERAL MEASURE
A malignant growth of breast tissue. Breast cancer spreads to nearby lymph glands, lungs, pleura, bone (especially the skull), pelvis and liver. Breast cancer is rare before age 30, and the peak ages are from 45 to 65. The incidence increases after menopause.

FREQUENT SIGNS AND SYMPTOMS
No symptoms in early stages, but pre-symptom stages may be detected by mammogram.

  • Swelling or lump in the breast.
  • Vague discomfort in the breast without true pain.
  • Retraction of the nipple.
  • Distorted breast contour.
  • Dimpled or pitted skin in the breast.
  • Enlarged nodes under the arm (late stages).
  • Bloody discharge from the nipple (rare).

CAUSES
Unknown.

RISK INCREASES IN / WITH

  • Women over 50.
  • Women who have not had children or who conceived in the late fertile years.
  • Family history of breast cancer (especially mother or sister).
  • Previous benign tumors of the breast( fibrocystic disease).
  • Early menstruation; late menopause; first pregnancy after age 30.
  • Previous breast cancer in one breast.
  • Radiation exposure.
  • Patient with endometrial or ovarian cancer.

PREVENTIVE MEASURES

  • Monthly self-examination of breast for signs of cancer.
  • Obtain professional examination regularly.
  • Obtain baseline mammogram between ages 35 to 40.
    Have mammogram every 1 to 2 years to age 49 and annually after 50.
  • Eat a well-balanced diet that is low in fat. (Studies are inconclusive about high-fat and breast cancer risks in humans).
  • If you are pregnant, consider breast-feeding your baby.
    Women who have breast-fed have a lower incidence of breast cancer.
  • A drug, such as tamoxifen, may be prescribed for women at high risk for breast cancer.

EXPECTED OUTCOME
Breast cancer is curable if diagnosed and treated early. The 10 year survival rate is related to the clinical stage of the diseases at diagnosis.

POSSIBLE COMPLICATIONS

  • Spread to vital organs if not treated early.
  • Adverse reactions to anticancer drugs and radiation.
  • Post-Surgical complications (wound infection, limited shoulder motion).