Our Summary

This research paper is about the safety and performance of three types of markers used during breast biopsies. When a breast biopsy is done, a marker is usually left in place to help with future care. The researchers looked back at patient records from three radiology practices over five years to see if there were any problems related to the use of these markers. Out of 768 markers placed, they found only three minor issues. Two were caused by user errors when placing the markers and one was because the marker couldn’t be found in the tissue that had been removed during surgery. They found no serious problems related to these markers. They concluded that placing these markers during breast biopsies is safe and carries very little risk.

FAQs

  1. What are the types of markers used during breast biopsies and how safe are they?
  2. What were the minor issues found in the research related to the use of markers in breast biopsies?
  3. How was the conclusion that the use of markers in breast biopsies carries very little risk reached?

Doctor’s Tip

A doctor might tell a patient undergoing a breast biopsy to expect some mild discomfort during the procedure, but that it is generally well-tolerated. They may also explain that the marker placed during the biopsy is safe and rarely causes any issues, providing reassurance to the patient about the procedure. Additionally, the doctor may suggest following any post-biopsy care instructions carefully to ensure proper healing and to contact them if any concerning symptoms develop.

Suitable For

Patients who are typically recommended breast biopsy include those with abnormal mammogram findings, such as suspicious masses or calcifications, as well as those with abnormal breast lumps or changes in the breast tissue. Other indications for breast biopsy may include nipple discharge, skin changes on the breast, or a personal or family history of breast cancer. It is important for patients to undergo a breast biopsy if recommended by their healthcare provider in order to accurately diagnose any potential breast abnormalities and determine the appropriate course of treatment.

Timeline

Before the breast biopsy:

  1. Patient undergoes a clinical breast examination and imaging studies (such as mammogram or ultrasound) to detect any abnormalities.
  2. If a suspicious lesion is found, a biopsy may be recommended to collect tissue samples for further analysis.
  3. Patient may receive information about the biopsy procedure, potential risks, and instructions for preparation (such as fasting before the procedure).

During the breast biopsy:

  1. Patient arrives at the radiology practice for the biopsy procedure.
  2. Local anesthesia is administered to numb the area where the biopsy will be performed.
  3. A small incision is made in the breast tissue, and a needle or surgical instrument is used to extract tissue samples.
  4. A marker may be placed at the site of the biopsy to help identify it in the future.

After the breast biopsy:

  1. Patient may experience mild discomfort or bruising at the biopsy site.
  2. Results of the biopsy are typically available within a few days to a week.
  3. Patient may follow up with their healthcare provider to discuss the biopsy results and next steps for treatment, if needed.
  4. If the biopsy results are inconclusive or show signs of cancer, further imaging studies or additional biopsies may be recommended.

What to Ask Your Doctor

  1. What type of marker will be used during my breast biopsy?
  2. What are the potential risks or complications associated with using a marker during the biopsy?
  3. How long will the marker be left in place and will it need to be removed at a later time?
  4. Will the presence of the marker affect any future imaging tests or procedures on my breast?
  5. Are there any specific precautions I need to take after the biopsy in relation to the marker?
  6. What should I do if I experience any unusual symptoms or issues related to the marker after the biopsy?
  7. How often do markers cause problems or complications in patients who have had breast biopsies?
  8. Are there alternative options to using a marker during the biopsy, and what are the pros and cons of each option?
  9. Will the presence of the marker affect my treatment plan or follow-up care for any potential breast conditions?
  10. Can you provide me with more information or resources about markers used during breast biopsies for further understanding?

Reference

Authors: Smith S, Taylor CR, Kanevsky E, Povoski SP, Hawley JR. Journal: Expert Rev Med Devices. 2021 Jan;18(1):121-128. doi: 10.1080/17434440.2020.1852928. Epub 2020 Dec 7. PMID: 33233969