HOW IS BREAST CANCER DIAGNOSED?
CAN IT BE TREATED WITHOUT SURGERY?
Before the biopsy, the breast is locally anesthetized and different needles are injected painlessly from the suspicious area.
A sufficient amount of tissue sample is taken with the help of
Needle biopsies can be performed under ultrasound, mammography (stereotaxic method) or MRI guidance.
For both patient and physician, it does not contain radiation, the needle can be followed continuously on the screen.
Ultrasonography is preferred.
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Breast biopsy is done in three ways.
1- Fine-needle aspiration biopsy (FNAB): In fine-needle biopsy, first of all, the area to be biopsied
Local anesthesia is performed with a needle and then a thin needle is inserted into the suspicious area. Then your needle
A syringe is attached to the tip and some liquid is drawn from it. This fluid is poured onto a glass by the pathologist.
spread and examined under the microscope for suspicious cells.
2- Tru-cut biopsy: This procedure is done with thicker (3-4 mm.) needles and a biopsy gun.
is performed. For application, the needle is first placed on the edge of the mass; button of the gun
pressure, the needle pops into the mass, breaks off a small piece and comes back. The needle is removed from the breast,
The piece of tissue inside is placed in a solution and the needle is inserted back into the breast. In this way
Several tissue samples should be taken from different parts of the mass. These parts are pathology in a solution
It is sent to the laboratory and a diagnosis is obtained a few days later.
Tru-cut biopsy is a frequently preferred biopsy method in the diagnosis of breast masses. However, only
It can be applied for the diagnosis of masses that can be seen on ultrasonography.
3-Vacuum biopsy: Vacuum biopsy, breast cancer that can usually be seen on mammography and MRI
It is used for the diagnosis of suspicious findings in terms of Vacuum biopsy, as well as microcalcifications,
biopsy of all suspicious findings that can only be seen on mammography and only on MRI; or
It can be used for the complete removal of benign masses without surgery.
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How long is the processing time?
FNAB (fine needle biopsy) and Tru-cut (cutting needle biopsy) biopsies take 10-20 minutes and the patient
Then he can continue his daily activities. Vacuum biopsy with sedation anesthesia on average
It takes 30-40 minutes.
Post-procedural findings are reported as benign, suspicious (atypical), or malignant.
benign mass
When the mass in the breast is fibroadenoma or benign cystic structure, three procedures can be applied.
1- It can be treated with some medical drugs.
2- Minor surgery can be intervened.
3- If surgery is not desired, ablation methods can be used. Ablation methods:
*Laser RF Microwave Ablations: It is a method of destroying the mass by heating
*Cryoablation: It is a method of destroying the masses by freezing.
*Vacuum biopsy: The mass can be completely removed from the needle hole.
Suspicious (Atypical) mass
If the mass biopsied in the breast has a suspicious (atypical) appearance, the mass should be completely removed by vacuum biopsy.
removable. In this way, both diagnosis and treatment are made.
malignant mass
Treatment of breast cancer depends on the stage of breast cancer and the state of health of the patient.
varies accordingly. Although it usually resorts to conservative surgical methods, interventional
The success of radiological methods has also been proven.
If the size and stage of the mass are suitable, non-surgical treatment and ablations may be preferred.
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#biopsy breast biopsy breast cancer Interventional radiology Aykut Recep Aktaş Ablation Microwave ablation Cryoablation cancer
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