Our Summary

This research paper examines the potential benefits of using CT (Computed Tomography) scans for diagnosing breast lesions. The most common methods for diagnosing these are mammography, ultrasound, and MRI (Magnetic Resonance Imaging) scans. However, there are situations where these methods may not work well. This is where CT scans can come in handy. The research aims to highlight situations where CT scans could be a good alternative for diagnosing breast lesions. It suggests that CT scans, although not commonly used for this purpose, can effectively detect breast lesions and can provide a safe way to access them.

FAQs

  1. What imaging modalities are most commonly used for interventional radiology procedures involving the breast?
  2. How can computed tomography (CT) be used in breast imaging and biopsies?
  3. When should computed tomography be considered as an alternative guidance method for breast biopsy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to follow any pre-procedure instructions carefully, such as fasting or avoiding certain medications. It is also important to inform the doctor about any allergies or medical conditions before the procedure. Additionally, it is normal to experience some discomfort or bruising after a breast biopsy, but if any unusual symptoms occur, such as excessive bleeding or infection, it is important to contact the doctor immediately.

Suitable For

Patients who are recommended for breast biopsy typically include those with suspicious findings on mammography, ultrasound, or MRI, such as:

  1. Abnormalities or changes in the breast tissue detected on imaging studies
  2. Breast lumps or masses that are palpable
  3. Asymmetrical density or distortion of breast tissue
  4. Suspicious calcifications or microcalcifications on mammography
  5. Changes in breast tissue appearance or texture
  6. History of breast cancer or family history of breast cancer
  7. Previous biopsy results indicating atypical or suspicious cells
  8. Persistent breast pain or discomfort
  9. Abnormal nipple discharge
  10. Personal risk factors for breast cancer, such as BRCA gene mutations

It is important for patients to consult with their healthcare provider to determine if a breast biopsy is necessary based on their individual risk factors and imaging findings.

Timeline

Before a breast biopsy, a patient typically undergoes a screening mammogram or ultrasound that detects a suspicious lesion. The patient may then undergo additional imaging such as MRI to further evaluate the lesion and determine the best approach for biopsy. The patient may also have a consultation with a radiologist or breast surgeon to discuss the biopsy procedure and potential risks.

During the biopsy procedure, the patient is typically positioned lying down on a table and the breast is numbed with local anesthesia. A small incision is made in the skin and a needle is inserted to remove tissue samples from the suspicious lesion. The samples are sent to a pathology lab for analysis to determine if the lesion is cancerous or benign.

After the biopsy, the patient may experience some pain or discomfort at the biopsy site. The patient may also have some bruising or swelling in the breast. The results of the biopsy are typically available within a few days to a week, and the patient will have a follow-up appointment with the radiologist or surgeon to discuss the results and any further treatment options.

What to Ask Your Doctor

  1. What type of biopsy do you recommend for my specific situation?
  2. What are the potential risks and complications associated with the biopsy procedure?
  3. How will I be prepared for the biopsy procedure?
  4. How long will the biopsy procedure take and what should I expect during the procedure?
  5. Will I need any sedation or anesthesia during the biopsy procedure?
  6. How soon will I receive the results of the biopsy?
  7. What follow-up care will be needed after the biopsy procedure?
  8. Are there any restrictions or limitations on my activities after the biopsy?
  9. What are the potential outcomes of the biopsy results and what are the next steps depending on those outcomes?
  10. Are there any alternative imaging modalities or biopsy techniques that could be considered for my specific situation?

Reference

Authors: Graziano L, Barbosa PNVP, Travesso DJ, de Lima Tourinho T, Tyng CJ, Bitencourt AGV. Journal: Breast J. 2019 Sep;25(5):1050-1052. doi: 10.1111/tbj.13407. Epub 2019 Jun 11. PMID: 31187573