Our Summary

This research paper is a large-scale review of studies on a technique used for diagnosing and treating breast cancer. The technique is called percutaneous vacuum-assisted breast biopsy (VABB), which is a procedure to remove cells or tissues to check under a microscope for signs of cancer. The researchers looked at studies up to July 2018 and pooled data from them to estimate the success rate of the procedure and the risk of complications.

The study found that VABB is highly successful and has a low risk of complications. These complications include hematoma (bruising), pain, vasovagal reflex (a sudden drop in heart rate and blood pressure leading to fainting), and infection. The researchers used two methods to locate the area in the breast for biopsy - ultrasound and mammography, and two types of needles.

The results suggest that VABB using either ultrasound or mammography could be a promising method for diagnosing and treating breast disease. However, the researchers state that further studies are needed to work out the best ways to use these findings.

FAQs

  1. What is the percutaneous vacuum-assisted breast biopsy (VABB) technique used for?
  2. What were the findings of the review of studies on the VABB technique?
  3. What are the potential complications of the VABB procedure?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast biopsy is to follow any pre-procedure instructions provided by the healthcare team, such as avoiding blood-thinning medications before the biopsy. It is also important to discuss any concerns or questions with the healthcare provider before the procedure to ensure a smooth and successful biopsy experience. Additionally, following post-procedure care instructions, such as keeping the biopsy site clean and dry, can help prevent complications and promote healing.

Suitable For

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

  1. Suspicious breast lumps or masses detected during a physical exam or imaging tests such as mammograms or ultrasounds.
  2. Abnormal findings on a mammogram, such as calcifications or a suspicious density.
  3. Breast changes such as skin thickening, redness, or nipple discharge.
  4. Personal history of breast cancer or a strong family history of breast cancer.
  5. Previous biopsy results showing atypical or suspicious cells.
  6. Monitoring of a known breast abnormality or lesion.
  7. Monitoring of a breast lesion that has shown changes over time.
  8. Evaluation of a breast lesion in patients with a high risk of breast cancer, such as those with a BRCA gene mutation.

It is important for patients to discuss their individual risk factors and concerns with their healthcare provider to determine if a breast biopsy is recommended for them.

Timeline

Before the breast biopsy:

  1. Patient consults with their healthcare provider and discusses their symptoms and concerns.
  2. Patient undergoes a physical examination and imaging tests such as mammograms or ultrasounds to identify the suspicious area in the breast.
  3. Patient may undergo a needle localization procedure to accurately mark the area for biopsy.
  4. Patient receives instructions on how to prepare for the biopsy, which may include avoiding certain medications or fasting.

During the breast biopsy:

  1. Patient is positioned comfortably on a table, typically lying on their back.
  2. Local anesthesia is administered to numb the area where the biopsy will be performed.
  3. A small incision is made in the skin, and a vacuum-assisted biopsy device is inserted to remove tissue samples.
  4. Multiple samples may be taken to ensure accurate diagnosis.
  5. The procedure typically takes less than an hour to complete.

After the breast biopsy:

  1. Patient is monitored for a short period after the procedure to ensure there are no immediate complications.
  2. Patient may experience mild discomfort or bruising at the biopsy site, which can be managed with over-the-counter pain medications.
  3. Results of the biopsy are typically available within a few days to a week, and the patient meets with their healthcare provider to discuss the findings.
  4. Depending on the results, further treatment options may be recommended, such as surgery, radiation therapy, or hormone therapy.

What to Ask Your Doctor

  1. What is the purpose of the biopsy and what will it help determine about my breast health?
  2. What are the potential risks and complications associated with the biopsy procedure?
  3. How will the biopsy be performed and what can I expect during and after the procedure?
  4. How accurate is the percutaneous vacuum-assisted breast biopsy in diagnosing breast cancer compared to other biopsy methods?
  5. How long will it take to get the results of the biopsy and what will happen next depending on the results?
  6. Are there any specific instructions I need to follow before or after the biopsy procedure?
  7. Will I need any follow-up appointments or additional tests after the biopsy?
  8. What are the possible treatment options if the biopsy results show signs of breast cancer?
  9. Are there any lifestyle changes or precautions I should take after the biopsy to maintain breast health?
  10. Are there any support resources or organizations you recommend for breast cancer patients or those undergoing biopsy procedures?

Reference

Authors: Fang M, Liu G, Luo G, Wu T. Journal: Int Wound J. 2019 Dec;16(6):1506-1512. doi: 10.1111/iwj.13224. Epub 2019 Sep 18. PMID: 31531950