Our Summary

This research paper is about the use of tissue markers during image-guided breast biopsies. These markers help doctors distinguish between multiple biopsied areas within one breast, avoid re-biopsying benign (non-cancerous) areas, match up results from different types of tests, guide surgery, and confirm that the target area has been removed during surgery. There are many different types of these markers, varying in shape, material, and whether they can be absorbed by the body. The aim of this review is to help doctors specializing in breast intervention understand the most commonly used markers in the U.S. and to provide advice on which markers to use in different clinical situations.

FAQs

  1. What is the purpose of tissue marker placement after image-guided breast biopsy?
  2. What are the different types of breast tissue markers available?
  3. How do tissue markers aid in the prevention of re-biopsy of benign lesions?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy is to follow all post-procedure care instructions provided by the healthcare provider. This may include avoiding strenuous activities, taking any prescribed pain medication, and keeping the biopsy site clean and dry. It is also important to follow up with the healthcare provider for any further testing or treatment recommendations based on the biopsy results. Additionally, if any unusual symptoms or signs of infection develop, it is important to contact the healthcare provider immediately.

Suitable For

Patients who are typically recommended for breast biopsy include those with suspicious breast lumps or masses, abnormal findings on mammograms, ultrasound, or MRI, persistent breast pain or nipple discharge, or a personal or family history of breast cancer. Additionally, patients with a history of previous breast cancer or high-risk factors for breast cancer may also be recommended for a breast biopsy.

Timeline

Before breast biopsy:

  1. Patient undergoes imaging tests (such as mammogram, ultrasound, or MRI) to identify suspicious areas in the breast.
  2. Patient may receive a local anesthetic to numb the area where the biopsy will be performed.
  3. A small incision is made in the breast, and a thin needle is inserted to collect a tissue sample.
  4. The tissue sample is sent to a laboratory for analysis to determine if it is cancerous or benign.

After breast biopsy:

  1. A tissue marker may be placed at the biopsy site to help identify it in future imaging tests.
  2. Patient may experience some discomfort or bruising at the biopsy site.
  3. Results of the biopsy are typically available within a few days to a week.
  4. Depending on the results, further treatment options will be discussed with the patient, such as surgery, radiation therapy, or medication.

What to Ask Your Doctor

  1. What type of biopsy is being recommended and why?
  2. What will the biopsy procedure entail and how long will it take?
  3. How will the tissue marker be placed and will it be visible on imaging studies?
  4. What are the potential risks or complications associated with the biopsy procedure?
  5. Will I need any follow-up imaging or additional procedures after the biopsy?
  6. How long will it take to receive the biopsy results and how will they be communicated to me?
  7. What are the possible outcomes of the biopsy results and what are the next steps in my treatment plan?
  8. Are there any restrictions or special care instructions I need to follow after the biopsy procedure?
  9. How often should I schedule follow-up appointments or screenings after the biopsy?
  10. Are there any alternative screening or biopsy options that I should consider?

Reference

Authors: Shah AD, Mehta AK, Talati N, Brem R, Margolies LR. Journal: Clin Imaging. 2018 Nov-Dec;52:123-136. doi: 10.1016/j.clinimag.2018.07.003. Epub 2018 Jul 6. PMID: 30059952