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| Forum | Questions | Ask a Question | |
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Intraductal Papillomas General questions about intraductal papillomas. |
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| Asked | Publicly Submitted Question | ||
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| 3/30/2012 | if excision is generally recommended, why do a needle biopsy first? | ||
| Replied | JHU's Breast Center Reply | ||
| 3/31/2012 | core biopsies are the standard of care to determine what the mass/abnormality is. Many will be benign. Making an incision causes the development of scar tissue within the breast, also involves general anesthesia, pain, and can also cause cosmetic issues of the breast. It is also important to know what this is before surgically removing it. If DCIS for example and lumpectomy ends up being the surgery planned then no nodes need to be checked however if it was invasive disease then sentinel node biopsy is needed. So the surgical approach and degree of margins varies too with what the diagnosis ends up being. you want to have surgery once, if surgery is even the outcome of a needle core biopsy. Scarring by the way from surgery results in abnormalities appearing on future mammograms. if what was found was benign you sure don't want to get into a catch 22 of having abnormalities in the future that result in more biopsies only to find they were just scar tissue too. | ||
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