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Breast Biopsy
Questions about the definition, risks and results of breast biopsy.
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AskedPublicly Submitted Question
2/4/2018Thank you for answering my question. I am the BIRD 4b left quadrant concerned with biopsy. I wanted a little more detail on the excision biopsy and if it would it be plausible to have a wire assisted excision even if a BIRD 4 b. I read that this has been done with 4A. My fear of sterotactic biopsy is with the machine there is more radiation among other problems I don't like it. Is there a good breast surgeon you know in NJ who would do the excisional biopsy and not insist on the sterotactic. Before the machine they did this as a manual sterotactic. I do not care about scarring. if they biopsy and found something via excision could they clearly see the area to go back and perform a lumpectomy if needed?. In other words does the wire assisted biopsy obscure anything for the future? And if I decide to biopsy via surgeon exicision can I be put to sleep not awake during procedure? And do they still need a mammography assist with wire biopsy is this with several more pics as they go. what does that exactly mean mammography assisted needle with wire or VAC and it also ionizing radiation and how much? Thank you so much.
RepliedJHU's Breast Center Reply
2/5/2018For excisional biopsy in the operating room (yes, you would asleep), a wire localization is usually done prior to going to the O.R. to mark the mass spot, usually there is a clip in place from the biopsy, for the surgeon to easily get to the mass. The wire is inserted using either a mammogram or ultrasound to visualize the clip so they know where to place the wire. It is removed during the surgery along with the mass and no, it doesn't obscure anything. The amount of radiation is minimal. We would have a breast radiologist do a biopsy first to get a diagnosis so we know exactly what type of surgery to do. Unfortunately, do not know of surgeons in NJ.

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