An excisional breast biopsy is performed when an unknown lump or mass is discovered during a routine breast exam. The doctor removes the mass for testing to determine if it is benign or cancerous. The biopsy procedure is performed in the operating room under anesthesia and involves a short recovery time after the procedure is complete. A small scar will be visible after the procedure. Depending on the amount of tissue removed, the shape of the breast may be altered.
Instructions
Prepare for the Procedure
1. Complete preliminary tests. Before an excisional breast biopsy can be completed, the doctor will order several tests. Tests that will be performed include blood work as a general precaution before any surgical procedure. The doctor may also request an ultrasound and mammogram to further identify the mass as well as pinpoint the location of the mass. These diagnostic tests can also provide a baseline against future test that can indicate any changes that have taken place in the breast. These tests may be performed from a few weeks before the surgery date to just a few days before the procedure.
2. Prepare for surgery. The excisional breast biopsy involves removal of the entire lump or mass in the breast. Depending on the type of anesthesia that will be used, there may be different instructions to prepare before the surgical procedure. If general anesthesia will be required, no food or liquids are generally allowed after midnight of the night before the procedure. If medicines are required the morning of the procedure, check with the doctor before administration. Smoking as well as taking any blood thinners, such as aspirin, should be eliminated before surgery to avoid excessive bleeding risks. An IV will be administered during the surgery to deliver medications as well as fluids. Being well hydrated before the procedure will make it easier to insert the IV.
3. Ask for help. Monitoring will be completed in the operating recovery room for several hours following the procedure. When cleared to leave, it will is best to have a driver available for transport, particularly if general anesthesia was used. There may be some soreness around the area as well as redness and slight swelling. The stitches that were used to close the incision will be removed in the doctor's office one to two weeks after the procedure. The pathology results from the procedure should be available within a few days. Depending on the results, the doctor will discuss the next steps that may be necessary.
Tags: after procedure, before procedure, breast biopsy, excisional breast biopsy, before surgery, before surgical, before surgical procedure
