Our Summary

This research paper looks at how the success of image-guided breast biopsies, a procedure where a small sample of breast tissue is removed for testing, relies not only on the technical aspects but also the patient’s overall experience. The patient’s experience can be influenced by various factors like the environment during the procedure, how well the medical team communicates with the patient, and how expectations and complications are managed. The paper reviews existing research and a survey from the Society of Breast Imaging to suggest ways to manage common complications and improve the patient’s experience during this procedure. These include strategies that are not directly related to the medical procedure itself, like playing music.

FAQs

  1. What factors influence the patient experience during image-guided breast biopsies?
  2. How can complications from image-guided core biopsy be managed or mitigated?
  3. What are some non-technical strategies to improve the patient biopsy experience?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to ask questions and communicate any concerns or fears they may have before, during, and after the procedure. Clear communication between the patient and healthcare provider can help alleviate anxiety and ensure that the patient feels informed and supported throughout the biopsy process. Additionally, following post-biopsy care instructions and attending follow-up appointments are important for monitoring and managing any potential complications.

Suitable For

Patients who are typically recommended for a breast biopsy include those with suspicious findings on a mammogram, ultrasound, or MRI, such as a suspicious lump or mass, abnormal calcifications, or changes in breast tissue. Patients with a personal or family history of breast cancer, as well as those with a genetic predisposition to breast cancer, may also be recommended for a biopsy. Additionally, patients with symptoms such as nipple discharge, skin changes, or breast pain may be recommended for a biopsy to further evaluate the cause of their symptoms.

Timeline

Before breast biopsy:

  1. Patient receives recommendation for biopsy after abnormal mammogram or clinical exam.
  2. Patient schedules appointment for biopsy and receives instructions on preparation.
  3. Patient may undergo additional imaging (ultrasound, MRI) to guide biopsy.
  4. Patient meets with healthcare provider to discuss biopsy procedure, risks, and potential outcomes.
  5. Patient may receive sedation or local anesthesia before biopsy.

After breast biopsy:

  1. Patient may experience mild discomfort or pain at the biopsy site.
  2. Patient receives post-biopsy care instructions, including how to care for the biopsy site.
  3. Patient may experience bruising, swelling, or bleeding at the biopsy site.
  4. Pathology report of the biopsy sample is reviewed by healthcare provider.
  5. Patient meets with healthcare provider to discuss biopsy results and next steps in treatment plan.

What to Ask Your Doctor

  1. What is the reason for recommending a breast biopsy?
  2. What type of biopsy procedure will be performed and why?
  3. What are the potential risks and complications associated with the biopsy?
  4. How will the biopsy results be communicated to me?
  5. How long will it take to receive the biopsy results?
  6. What follow-up care or treatment may be necessary depending on the biopsy results?
  7. Will I experience any pain or discomfort during or after the biopsy procedure?
  8. How can I prepare for the biopsy procedure, including any dietary or medication instructions?
  9. What should I expect during the recovery period after the biopsy?
  10. Are there any restrictions on activities or lifestyle changes I should be aware of after the biopsy?

Reference

Authors: Dodelzon K, Bhole S, Coffey K, Dashevsky BZ, Mullen L, Parikh J, Reig B, Grimm L. Journal: J Breast Imaging. 2025 Jan 25;7(1):85-93. doi: 10.1093/jbi/wbae066. PMID: 39499496