The diagnostic mammogram shows an area of concern and your doctor is recommending a biopsy. Before you make a final decision, know what you are getting into. Most biopsies are a simple procedure but a surgical biopsy is more involved. Take control of your health by asking questions and getting the information you need to make informed consent.
How many areas of concern are there?
You could have one area or several areas of concern. Usually these are clusters of micro-calcifications. Ask to see the images and have your doctor or radiologist explain them to you.
What is a needle biopsy?
A needle biopsy is where a needle is inserted into the area of concern and a sample is taken. Very small areas may need a fine-needle aspiration. Larger areas may need a core-needle biopsy. You may not have a choice. The size of the area that needs to be examined may determine your options.
Will I need wire-guides?
Wire-guides are used to mark the area for the biopsy. A wire is inserted into the area where the biopsy will occur. Mammography is used to place the wire and images are sent to the physician performing the biopsy. If your doctor says wire-guides are required ask if the wires and the biopsy will be performed in the same facility or location. In some areas, you may have to travel by car from one facility to the other.
Do I need surgery?
The size of the area needing a biopsy may be large or there may be several areas close together. In this case, your doctor may recommend a surgical biopsy. Usually, this is done as an outpatient procedure. However, your age and overall health will determine if you need to stay overnight.
If a surgical biopsy is recommended, ask your surgeon if they work with a plastic surgeon. Have a consultation with a plastic surgeon prior to having a surgical biopsy. Ask them if they work with a general surgeon for biopsies, lumpectomies and mastectomies. Your plastic surgeon will tell the general surgeon how to make the incisions so that there will be minimal visible scarring.
Can I get a second opinion?
If you are not completely convinced that the course of treatment laid out by your physician is right for you, get a second or third opinion. Some insurance policies require a second opinion before a surgical procedure is done. Women who do not have health insurance or who are moderate to low-income can contact the Arkansas BreastCare Program to find resources in the Little Rock area.
You can make an informed decision once your questions are answered. A biopsy is unnerving and scary. Getting answers and understanding all of the procedures will help relieve some of the stress. If your doctor will not address your questions or concerns--get another doctor.
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