Our Summary

This research paper talks about the use of a modern technique called vacuum-assisted biopsy and vacuum-assisted excision in the diagnosis and treatment of breast conditions. The study was conducted by specialist breast surgeons in Australia, using ultrasound-guided procedures on 197 patients.

The results showed that out of the 225 procedures, most of them were successful in completely removing the lesion. These procedures were mostly performed in an outpatient setting, meaning the patients were able to go home the same day. They also found that the average size of these lesions was smaller in the group where the entire lesion was removed. On average, these procedures took about 14 minutes to perform.

The conclusion of the study was that specialist breast surgeons can be trained to perform these vacuum-assisted procedures safely and quickly. It’s a less invasive way of managing breast lesions, so it’s a skill that breast surgeons should learn.

FAQs

  1. What is a vacuum-assisted biopsy and excision?
  2. What were the results of the study conducted by Australian specialist breast surgeons using vacuum-assisted procedures?
  3. Why is it recommended for specialist breast surgeons to learn vacuum-assisted procedures?

Doctor’s Tip

A helpful tip a doctor might give a patient about breast biopsy is to stay calm and try to relax during the procedure. It’s normal to feel anxious, but taking deep breaths and focusing on positive thoughts can help make the experience more comfortable. Additionally, following any pre-procedure instructions, such as not eating or drinking beforehand, can help ensure the biopsy goes smoothly. And finally, it’s important to follow up with your doctor for the results and any further recommendations for treatment or follow-up care.

Suitable For

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

  1. Suspicious or abnormal mammogram findings, such as a mass, calcifications, or architectural distortion
  2. Palpable breast lumps or masses
  3. Abnormal changes in the skin of the breast, such as redness, dimpling, or thickening
  4. Nipple discharge, especially if it is bloody
  5. A personal or family history of breast cancer or other breast conditions
  6. A previous biopsy that showed atypical or suspicious cells
  7. A history of hormonal therapy or radiation therapy for breast cancer
  8. A history of certain genetic mutations, such as BRCA1 or BRCA2

It is important for patients to consult with their healthcare provider if they have any concerns or symptoms related to their breast health. A biopsy may be recommended to accurately diagnose and treat any abnormalities in the breast tissue.

Timeline

  • Patient notices a lump or abnormality in their breast and consults with their doctor
  • Doctor performs a physical exam and may order imaging tests such as mammogram or ultrasound
  • Based on the results, doctor recommends a breast biopsy to further evaluate the abnormality
  • Patient schedules a biopsy appointment and receives instructions on what to expect before and after the procedure
  • On the day of the biopsy, patient arrives at the clinic or hospital and is prepped for the procedure
  • During the biopsy, a small sample of tissue is removed from the breast using a needle or vacuum-assisted device
  • After the biopsy, a bandage is applied to the site and the patient is monitored for any immediate complications
  • The tissue sample is sent to a pathology lab for analysis, which may take a few days to a week
  • Once the results are available, the patient meets with their doctor to discuss the findings and next steps, which may include further testing or treatment
  • If the biopsy results show a benign (non-cancerous) lesion, the patient may require no further treatment
  • If the biopsy results show a malignant (cancerous) lesion, the patient may be referred to an oncologist for further treatment options such as surgery, radiation, or chemotherapy.

What to Ask Your Doctor

  1. What is a breast biopsy and why is it necessary?
  2. What type of biopsy procedure will be performed (e.g. vacuum-assisted biopsy, core needle biopsy, etc.)?
  3. How long will the procedure take and will I be able to go home the same day?
  4. What are the risks and potential complications associated with the biopsy procedure?
  5. How accurate is the biopsy in diagnosing breast conditions?
  6. Will I experience any pain or discomfort during or after the biopsy procedure?
  7. How soon will I receive the results of the biopsy?
  8. What follow-up care or treatments may be necessary depending on the results of the biopsy?
  9. Are there any alternative options to a biopsy procedure?
  10. Are there any lifestyle changes or precautions I should take before or after the biopsy procedure?

Reference

Authors: Bennett I, de Viana D, Law M, Saboo A. Journal: World J Surg. 2020 Mar;44(3):819-824. doi: 10.1007/s00268-019-05266-7. PMID: 31712841