تعريف
Breast surgical biopsy is when the doctor makes a cut in the breast to remove all or part of a mass. The mass is examined in a lab.
أسباب هذا الإجراء
Breast surgical biopsy is done to examine a suspicious area in the breast. It may be done if any of the following are found:
- Lump
- Tissue thickening
- Nipple abnormality
- Discharge from the nipple
- Abnormal ultrasound or mammogram image
The biopsy can identify the area as either benign (noncancerous) or malignant (cancerous).
المضاعفات المحتملة
Complications are rare, but no procedure is completely free of risk. If you are planning to have a breast surgical biopsy, your doctor will review a list of possible complications, which may include:
- نزيف
- العدوى
- كدمات
- تندب
- Tissue damage
- Breast deformity
- Numbness over the biopsy area
بعض العوامل التي قد تزيد من خطر المضاعفات تشمل:
- السمنة
- التدخين
- سوء التغذية
- Chronic illness, like diabetes
- اضطراب النزيف
تأكد من مناقشة هذه المخاطر مع طبيبك قبل الإجراء.
ما يمكن توقعه
قبل الإجراء
قد يقوم طبيبك بما يلي:
- Physical exam, especially a breast exam
- تحاليل الدم
- Mammogram and/or breast ultrasound
Leading up to the biopsy:
- تحدث مع طبيبك حول الأدوية التي تتناولها حاليًا. قد يلزم التوقف عن تناول بعض الأدوية قبل الإجراء، مثل:
- Anti-inflammatory medication
- Blood-thinning medication
- Eat a light meal the night before your procedure. Do not eat or drink anything after midnight.
- Shower the morning of the biopsy. You may be asked to use a special antibacterial soap.
التخدير
You may receive the following types of anesthesia:
- Local anesthesia—Only the area that is being operated on is numbed.
- General anesthesia—Blocks pain and keeps you asleep through the surgery; given through an IV in your hand or arm.
وصف الإجراء
There are different ways the doctor can remove the mass from your breast:
Breast Open Biopsy
You will be given either general or local anesthesia. The skin over the area will be cleaned. A small cut will be made over the area. A sample of the tissue or all of the mass will be removed. The site will be closed with stitches or staples. A bandage will be applied.
Needle Localization
This technique will be used if the mass is too deep to be felt, but it can be seen with imaging tests. After the mass is located, a fine wire will be placed into your breast. The wire will point to the spot that needs to be biopsied. A small cut will be made in the area and the mass will be removed.
كم من الوقت سيستغرق ؟
1-3 ساعات
هل سيكون هناك ألم؟
You may feel pain in your breast after the biopsy. Your doctor will prescribe pain medicine.
رعاية ما بعد العملية
في البيت
عندما تعود إلى المنزل بعد الإجراء ، قم بما يلي للمساعدة في ضمان التعافي السلس:
- Take pain medicine as directed by your doctor.
- To relieve discomfort, apply a warm compress or a heating pad to the area.
- Wear a supportive bra.
- اسأل طبيبك متى يجب عليك تغيير الضمادات.
- Restrict exercise for 2-3 weeks after surgery.
- If you have stitches, have them removed in about a week.
- تأكد من اتباع تعليمات طبيبك.
It will take about 2-5 days to receive your test results.
استدعاء الطبيب
After arriving home, contact your doctor if any of the following occur:
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- احمرار أو تورم أو ألم متزايد أو نزيف مفرط أو إفرازات من موقع الخزعة
- Nausea and/or vomiting that you cannot control with the medicine you were given after surgery, or that lasts for more than two days after the procedure
- ألم لا يمكنك السيطرة عليه بالأدوية التي أعطيت لك
- السعال، ضيق التنفس، أو ألم في الصدر
- ألم و/أو تورم في قدميك، أو ساقيك، أو ساقيك
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.