Consultation and Second Opinion
In Office Procedures:
Outpatient Surgical or Hospital Procedures:
Breast Ultrasound. Breast Ultrasound is a painless procedure that uses soundwaves to look through the breast for abnormalities such as cysts (fluid filled) or solid masses. It is particularly helpful in evaluating palpable lumps in the mammographically dense breast and in examining areas that are abnormal on a mammogram. It is also used in guiding needle aspiration and biopsy procedures.
FNA Biopsy. A solid mass can be biopsied by aspirating cells through a small needle. The aspirated material is placed on a slide for the pathologist to examine. This is sometimes helpful in determining if a mass is benign or malignant however a confirmatory larger core biopsy may be needed before a definitive procedure is done.
Ultrasound Guided Core or Vacuum Assisted Biopsy. A special hollow needle or biopsy probe is used to remove tissue samples from the breast. This procedure is done under local anesthesia through a small incision. Ultrasound is used to identify the mass and confirm the location of the needle within the proper area of the mass.
Excisional Biopsy. Excisional biopsy removes a mass or lesion. Wire localization may be necessary to locate the area identified on mammogram or ultrasound. The wire is followed into the breast tissue and the tissue around the wire is removed along with the wire.
Incisional Biopsy. Incisional biopsy is rarely done now that core biopsy is available. This removes a small part of a mass for diagnosis. It also may be done as a skin biopsy for inflammatory breast cancer.
Sentinal Lymph Node Biopsy and sampling with mapping. This is a procedure to determine the first lymph node that drains the breast. This node or nodes is most likely to contain cancer cells if the tumor has spread. If this node is negative for cancer cells, this remainder of the nodes can be spared. If it is positive for cancer cells, it is usually recommended that a complete axillary dissection be done. This may require a second operation at a different time.
Access Port for Chemotherapy. A vascular access device is a
specialized chamber buried under the skin that is connected to an intravenous
catheter to deliver chemotherapy and medications into the bloodstream.
This is often placed for the patientís convenience and to avoid multiple
venous punctures during the treatment.
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