সংজ্ঞা
Breast needle biopsy is the removal of a sample of breast tissue using a needle. The sample is examined in a lab. There are different types of breast needle biopsies:
- সূক্ষ্ম সুচ শ্বাসাঘাত
- Ultrasound-directed needle biopsy
- Stereotactic core needle biopsy
- Magnetic resonance imaging (MRI)-guided breast biopsy
- Vacuum-assisted device biopsy
পদ্ধতির কারণ
Breast needle 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).
সম্ভাব্য জটিলতা
Complications are rare, but no procedure is completely free of risk. If you are planning to have a biopsy, your doctor will review a list of possible complications, which may include:
- রক্তপাত
- সংক্রমণ
- ক্ষত
জটিলতার ঝুঁকি বাড়াতে পারে এমন কিছু কারণের মধ্যে রয়েছে:
- স্থূলতা
- ধূমপান
- কম পুষ্টি উপাদান
- Chronic illness (eg, diabetes)
- রক্তক্ষরণ ব্যাধি
পদ্ধতির আগে আপনার ডাক্তারের সাথে এই ঝুঁকিগুলি নিয়ে আলোচনা করতে ভুলবেন না।
কি আশা করা যায়
পদ্ধতির আগে
আপনার ডাক্তার নিম্নলিখিত করতে পারেন:
- Physical exam, especially a breast exam
- রক্ত পরীক্ষা
- Mammogram and/or breast ultrasound
Leading up to the biopsy:
- Talk to your doctor about your current medication. Certain medication may need to be stopped before the procedure, such as:
- প্রদাহ বিরোধী ওষুধ
- রক্ত পাতলা করার ওষুধ
- Shower the morning of the biopsy. You may be asked to use a special antibacterial soap.
এনেস্থেশিয়া
You may receive local anesthesia. If this is the case, the area that is being operated on will be numbed.
পদ্ধতির বর্ণনা
The doctor will choose from several types of biopsies to get a tissue sample:
Fine Needle Aspiration
The skin over the area will be cleaned. A small needle will be inserted into the breast tissue. Fluid and/or tissue will be removed. The needle may be removed and re-inserted more than one time. After this is done, the doctor will apply pressure to the area and cover the spot with a bandage.
Ultrasound-directed Needle Biopsy
An ultrasound device is used to locate the area where the biopsy needs to be taken. An ultrasound uses sound waves to create an image of the breast tissue on a monitor. After the location is found, a small needle will be inserted in the breast tissue. Samples of fluid and/or tissue will be removed. A bandage will be applied after the needle is removed.
Stereotactic Core Needle Biopsy
The doctor may have you lie down on your stomach or sit depending on the equipment being used. Mammogram or ultrasound images will be taken to locate the suspicious area. The doctor will make a tiny cut in your breast and insert a special probe. Using the probe, the doctor will remove several core samples of breast tissue from the area. After this is done, the area will be covered with a bandage.
MRI-guided Breast Biopsy
In some instances, the suspicious area can only be seen using an MRI. Because of this, an MRI-guided breast biopsy may be needed. This procedure takes more time. Tell your doctor if you have a cardiac pacemaker. It may affect the procedure.
Vacuum-assisted Device Biopsy
The doctor will insert a needle and use pressure from a vacuum to pull tissue from the mass through the needle. The tissue is then placed into a sampling chamber. This method lets the doctor collect multiple tissue samples during one needle insertion.
কতক্ষণ এটা লাগবে?
It will take less than one hour. After the procedure, the tissue collected will be sent to a pathologist who will look at it under a microscope. It may take about 2-5 days to receive the test results.
এটা আঘাত করবে?
There will be slight pain in your breast after the biopsy. Your doctor may prescribe pain medication.
পোস্ট-প্রক্রিয়া যত্ন
ঘরে
যখন আপনি পদ্ধতির পরে বাড়িতে ফিরে যান, একটি মসৃণ পুনরুদ্ধার নিশ্চিত করতে নিম্নলিখিতগুলি করুন:
- 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.
- আপনার ব্যান্ডেজগুলি কখন পরিবর্তন করা উচিত তা আপনার ডাক্তারকে জিজ্ঞাসা করুন।
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
আপনার ডাক্তারকে কল করুন
After arriving home, contact your doctor if any of the following occur:
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- Redness, swelling, increasing pain, a lot of bleeding, or discharge from the biopsy site
- Nausea and/or vomiting that you cannot control with the medication you were given after surgery, or that last for more than two days after the procedure
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- কাশি, শ্বাসকষ্ট বা বুকে ব্যথা
- আপনার পা, বাছুর বা পায়ে ব্যথা এবং/অথবা ফোলা
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।