Our Summary

This research paper looks at whether markers used in breast biopsies move from their original position and what factors may cause this. The study used data from 263 patients who had these procedures between August 2010 and July 2013. The researchers found that around 13% of the markers moved at least 1 cm from their original position, with some moving as far as 6 cm. Patient age, the specific type of biopsy, and whether the procedure was performed on the left or right breast didn’t seem to affect whether the markers moved. However, the density of the breast tissue and the location of the biopsy in the breast did seem to influence marker movement. The researchers concluded that multiple factors can cause marker movement and that the 13% migration rate indicates a need for better marker designs to prevent this from happening.

FAQs

  1. What was the main focus of this research study on breast biopsies?
  2. What factors were found to influence the movement of markers used in breast biopsies?
  3. What was the conclusion of the study regarding marker movement in breast biopsies?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to avoid vigorous physical activity or lifting heavy objects for a few days following the procedure to reduce the risk of the marker moving from its original position. It is also important to follow any post-biopsy care instructions provided by the healthcare provider to ensure proper healing and accurate results.

Suitable For

Patients who are typically recommended for breast biopsy include those with abnormal mammogram results, suspicious lumps or masses in the breast, nipple discharge, changes in breast skin, or a family history of breast cancer. Additionally, patients who have a personal history of breast cancer or other breast abnormalities may also be recommended for a breast biopsy.

Timeline

Before the breast biopsy:

  1. Patient undergoes a physical examination and imaging tests such as mammogram or ultrasound to detect abnormalities in the breast tissue.
  2. If a suspicious area is found, a biopsy may be recommended to obtain a tissue sample for further evaluation.
  3. Patient discusses the procedure with their healthcare provider, including the risks and benefits, and signs a consent form.
  4. Patient may be instructed to avoid certain medications like blood thinners before the procedure.

During the breast biopsy:

  1. Patient is positioned on a table and the area to be biopsied is cleaned and numbed with a local anesthetic.
  2. A small incision is made and a needle or biopsy device is inserted to collect the tissue sample.
  3. Markers may be placed at the site of the biopsy to help guide further treatment if necessary.
  4. The tissue sample is sent to a lab for analysis.

After the breast biopsy:

  1. Patient may experience some soreness or bruising at the biopsy site, which typically resolves within a few days.
  2. Results of the biopsy are usually available within a week, and the patient meets with their healthcare provider to discuss the findings.
  3. Depending on the results, further tests or treatments may be recommended.
  4. If markers were placed during the biopsy, follow-up imaging may be done to ensure they are in the correct position and have not moved.

What to Ask Your Doctor

  1. What type of biopsy will be performed on my breast?
  2. How long will the biopsy procedure take?
  3. Will I experience any pain or discomfort during the biopsy?
  4. How long will it take to get the results of the biopsy?
  5. What are the potential risks or complications associated with the biopsy procedure?
  6. Will I need any follow-up procedures or treatments based on the biopsy results?
  7. Are there any restrictions on activities or medications before or after the biopsy?
  8. How often do markers used in breast biopsies move from their original position?
  9. What factors may cause markers to move during a breast biopsy?
  10. Are there any steps that can be taken to minimize the risk of marker movement during the biopsy procedure?

Reference

Authors: Jain A, Khalid M, Qureshi MM, Georgian-Smith D, Kaplan JA, Buch K, Grinstaff MW, Hirsch AE, Hines NL, Anderson SW, Gallagher KM, Bates DDB, Bloch BN. Journal: Eur Radiol. 2017 Nov;27(11):4797-4803. doi: 10.1007/s00330-017-4851-7. Epub 2017 May 19. PMID: 28526892