Our Summary

This paper is about small objects, called breast biopsy markers, that are placed in the breast during a biopsy or to highlight an abnormality. These markers can help doctors avoid having to repeat a biopsy on a benign (non-cancerous) tumor, differentiate between multiple issues in the breast, evaluate how big a tumor is, and be more precise during surgery.

The article reviews a variety of these markers, discussing their different shapes, materials, special features, and how they are absorbed by the body. It also considers different situations in which these markers might be used and what the implications of that may be.

The authors believe that by creating new types of markers, made of a combination of plastic and metal, some of the current problems with these markers could be solved. This review will help doctors pick the best type of marker for each individual case.

FAQs

  1. What are breast biopsy markers and what purpose do they serve?
  2. What are some of the current problems with breast biopsy markers that could potentially be solved with new materials?
  3. How does the type of marker used in a breast biopsy affect the procedure and its outcome?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast biopsy markers is to inform them that the markers are a safe and common tool used to assist in accurately diagnosing and treating breast abnormalities. The markers are typically small and do not cause discomfort or interfere with daily activities. Additionally, the markers are designed to be easily seen on imaging scans, allowing for more precise and effective treatment planning. It is important for patients to follow their doctor’s instructions regarding any follow-up appointments or imaging scans to ensure the best possible outcome.

Suitable For

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

  1. Suspicious findings on a mammogram, ultrasound, or MRI, such as a lump, mass, or abnormal calcifications.
  2. Abnormal changes in the breast, such as skin dimpling, nipple discharge, or changes in breast shape or size.
  3. Family history of breast cancer or a genetic mutation that increases the risk of breast cancer, such as BRCA1 or BRCA2.
  4. Personal history of breast cancer or other breast conditions, such as atypical hyperplasia or lobular carcinoma in situ.
  5. Persistent or unexplained breast pain.
  6. Previous inconclusive or abnormal breast biopsy results.
  7. Monitoring of a known breast abnormality or tumor to assess changes over time.
  8. Evaluation of a breast abnormality detected during a physical exam.

Overall, breast biopsy markers can be recommended for a wide range of patients to aid in the diagnosis and treatment of breast conditions.

Timeline

Before a breast biopsy, a patient typically undergoes a physical examination, imaging tests such as mammograms or ultrasounds, and possibly a needle biopsy. The patient may also discuss their medical history and any concerns with their healthcare provider.

During the breast biopsy procedure, the patient is usually awake and may receive local anesthesia to numb the area. A small incision is made in the breast, and a tissue sample is taken using a needle or surgical biopsy device. In some cases, a marker may be placed in the breast to help locate the biopsy site for future reference.

After the biopsy, the patient may experience some soreness or bruising at the biopsy site. The tissue sample is sent to a laboratory for analysis, and the patient may need to wait a few days to receive the results. If the biopsy reveals a benign tumor, the marker may help doctors avoid unnecessary repeat biopsies in the future. If the biopsy shows cancerous cells, the marker can help guide further treatment decisions, such as surgery or radiation therapy.

Overall, breast biopsy markers play an important role in ensuring accurate diagnosis and treatment of breast abnormalities. By choosing the right type of marker for each case, healthcare providers can improve patient outcomes and reduce the need for additional procedures.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast biopsy markers include:

  1. Why do I need a breast biopsy marker and how will it help in my treatment?
  2. What type of marker will be used in my biopsy and what are the benefits of this type?
  3. Are there any potential risks or side effects associated with the marker placement?
  4. How long will the marker stay in my breast and will it need to be removed at a later date?
  5. Will the marker cause any discomfort or interfere with future imaging tests or treatments?
  6. How will the marker be placed in my breast and what should I expect during the procedure?
  7. Will the marker be visible on imaging tests and will it affect the accuracy of future mammograms or ultrasounds?
  8. What follow-up care or monitoring will be required after the marker is placed in my breast?
  9. What are the implications of having a marker in my breast for future surgeries or treatments?
  10. Are there any alternative options to using a marker in my breast biopsy?

Reference

Authors: Martin EA, Chauhan N, Dhevan V, George E, Laskar P, Jaggi M, Chauhan SC, Yallapu MM. Journal: Expert Rev Med Devices. 2022 Dec;19(12):965-975. doi: 10.1080/17434440.2022.2159807. Epub 2022 Dec 23. PMID: 36524747