Our Summary

The study aimed to identify key characteristics for sample analysis of a specific type of breast biopsy done with the guidance of magnetic resonance imaging. The researchers looked at these biopsies performed on 197 women with 208 lesions between 2009 and 2013. They found that the rate of cancer was 26%, and there was an underestimation rate of about 16%. They found that being able to see a clear boundary between a biopsied lesion and the surrounding breast tissue was more common in mass enhancement. The presence of certain types of non-mass enhancement was linked with a high degree of fibrosis, a condition where tissues become scar-like, and a specific benign condition of the breast. The researchers concluded that being able to see a clear boundary between a lesion and the surrounding tissue is crucial to confirm the correct targeting of a lesion.

FAQs

  1. What was the main goal of the study on breast biopsies?
  2. What were the key findings of the study regarding the rate of cancer and underestimation rate?
  3. How does the visibility of a clear boundary between a lesion and the surrounding tissue contribute to the biopsy process?

Doctor’s Tip

A doctor might tell a patient undergoing a breast biopsy that it is important to follow all pre-procedure instructions, such as refraining from taking certain medications, and to inform their healthcare provider of any allergies or medical conditions. They may also advise the patient to ask questions about the procedure and potential risks, and to follow post-procedure care instructions closely to ensure proper healing and recovery. Additionally, the doctor may recommend regular follow-up appointments and screenings to monitor the biopsy site and overall breast health.

Suitable For

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

  1. Suspicious findings on mammograms or other imaging tests, such as ultrasound or MRI.
  2. Abnormalities detected during a physical exam, such as a lump or thickening in the breast.
  3. Personal or family history of breast cancer.
  4. Previous biopsy results indicating atypical or precancerous cells.
  5. Changes in the breast, such as skin dimpling or nipple discharge.
  6. Persistent breast pain or discomfort.
  7. Abnormalities detected during breast cancer screening, such as ductal carcinoma in situ (DCIS) or lobular carcinoma in situ (LCIS).

It is important for healthcare providers to carefully evaluate each patient’s individual risk factors and medical history before recommending a breast biopsy.

Timeline

Before the breast biopsy:

  1. Patient undergoes a physical examination and imaging tests such as mammogram, ultrasound, or MRI to detect a suspicious breast lesion.
  2. Patient may undergo a discussion with their doctor about the need for a biopsy and the risks and benefits involved.
  3. Patient may receive instructions on how to prepare for the biopsy, such as avoiding blood-thinning medications and arranging for transportation home after the procedure.

During the breast biopsy:

  1. Patient receives local anesthesia to numb the area where the biopsy will be performed.
  2. A small incision is made in the skin, and a needle or surgical tool is inserted to remove a sample of tissue from the suspicious lesion.
  3. Patient may feel pressure or discomfort during the procedure, but it is generally well-tolerated.

After the breast biopsy:

  1. Patient may experience mild pain or swelling at the biopsy site, which can be managed with over-the-counter pain medications.
  2. Patient may receive instructions on how to care for the biopsy site and when to follow up with their doctor for results.
  3. Results of the biopsy are typically available within a few days to a week, and the patient will meet with their doctor to discuss the findings and next steps, such as additional testing or treatment if cancer is detected.

What to Ask Your Doctor

  1. What type of breast biopsy procedure will be performed?
  2. What are the risks and potential complications associated with the biopsy procedure?
  3. How long will it take to receive the biopsy results?
  4. What are the chances that the biopsy results may be inaccurate or inconclusive?
  5. Will additional imaging tests be needed after the biopsy procedure?
  6. What are the next steps if the biopsy results show cancer?
  7. Are there any alternative options to biopsy that could be considered?
  8. What should I expect in terms of recovery and follow-up care after the biopsy procedure?
  9. Are there any specific lifestyle changes or precautions I should take before or after the biopsy procedure?
  10. How will the biopsy results be communicated to me, and will I have the opportunity to discuss them with you in detail?

Reference

Authors: Dratwa C, Jalaguier-Coudray A, Thomassin-Piana J, Gonin J, Chopier J, Antoine M, Trop I, Darai E, Thomassin-Naggara I. Journal: Eur Radiol. 2016 Aug;26(8):2510-9. doi: 10.1007/s00330-015-4071-y. Epub 2015 Oct 29. PMID: 26511630