Our Summary

This research paper discusses two types of breast lumps: fibroadenomas and phyllodes tumors. Fibroadenomas are common and usually harmless, while phyllodes tumors are less common and can show symptoms. The treatment approach for fibroadenomas aims to decrease the number of biopsies (tissue sample tests) without missing any potential cancers. On the other hand, when managing phyllodes tumors, the focus is on using imaging tests to determine if surgery is needed to remove the tumor and some surrounding tissue.

FAQs

  1. What are fibroadenomas and phyllodes tumours?
  2. What is the main focus of managing fibroadenomas?
  3. How should phyllodes tumours be managed radiologically?

Doctor’s Tip

One helpful tip a doctor might tell a patient about a breast biopsy is to avoid vigorous physical activity or lifting heavy objects for a few days after the procedure to reduce the risk of bleeding or complications. It is also important to follow any post-biopsy care instructions provided by the doctor to ensure proper healing and accurate results. Additionally, it is important to keep the biopsy site clean and dry to prevent infection.

Suitable For

Patients who are typically recommended for a breast biopsy include those with:

  1. Suspicious lumps or masses detected during a physical exam or imaging studies such as mammograms or ultrasounds
  2. Abnormalities seen on a breast MRI
  3. Persistent or new nipple discharge, especially if it is bloody
  4. Changes in the skin of the breast, such as redness, dimpling, or puckering
  5. Breast pain that is localized and persistent
  6. Personal or family history of breast cancer or other risk factors that increase the likelihood of developing breast cancer
  7. Previous abnormal breast biopsy results
  8. Suspicious findings on a breast biopsy, such as atypical cells or borderline lesions

It is important for healthcare providers to carefully evaluate each individual case and recommend a breast biopsy when there is a concern for breast cancer or other significant pathology.

Timeline

Before breast biopsy:

  1. Patient notices a breast lump or experiences other symptoms such as pain or nipple discharge.
  2. Patient consults with their healthcare provider who may recommend a breast examination, imaging tests (such as mammogram or ultrasound), and possibly a biopsy.
  3. If a biopsy is recommended, the patient may undergo further testing to determine the type of biopsy needed (e.g. fine needle aspiration, core needle biopsy, or surgical biopsy).

After breast biopsy:

  1. Patient undergoes the biopsy procedure, which may be done under local anesthesia.
  2. Patient may experience some discomfort or pain at the biopsy site after the procedure.
  3. Biopsy samples are sent to a pathology lab for analysis.
  4. Patient waits for results, which may take a few days to a week to come back.
  5. Depending on the results, the patient may be diagnosed with a benign condition (such as a fibroadenoma) or a more serious condition (such as breast cancer).
  6. If the biopsy results are inconclusive or show a suspicious finding, further tests or procedures may be recommended.
  7. Patient may receive treatment or ongoing monitoring based on the biopsy results and diagnosis.

What to Ask Your Doctor

  1. What type of biopsy will be performed (core needle biopsy, excisional biopsy, etc.)?
  2. How accurate is the biopsy in determining whether the mass is benign or malignant?
  3. What are the potential risks and complications of the biopsy procedure?
  4. How long will it take to receive the biopsy results?
  5. If the biopsy results show a benign mass, what are the next steps in monitoring or treatment?
  6. If the biopsy results show a malignant mass, what are the treatment options available?
  7. Will I need any additional imaging tests or procedures after the biopsy?
  8. How often should I have follow-up appointments or screenings after the biopsy?
  9. Are there any lifestyle changes or precautions I should take after the biopsy?
  10. Are there any support groups or resources available for individuals undergoing breast biopsies?

Reference

Authors: Evans A, Jethwa K. Journal: Br J Radiol. 2023 Feb;96(1142):20220078. doi: 10.1259/bjr.20220078. Epub 2022 Sep 8. PMID: 35976616