Are there any side effects to breast puncture?

Breast puncture is a common method of examining the breast. The advantages of breast puncture are that it is relatively economical, less painful, and can easily detect whether there is a lesion. Of course, it also has certain disadvantages. For example, positive results are easily affected by multiple factors, which means that it is easy to miss a diagnosis. Once a malignant diagnosis is missed, the harm is relatively large.

Clinical significance

Abnormal result: The test result is positive, confirming the presence of breast cancer cells. People who need to be checked: middle-aged and elderly women, and people with abnormal breast pain.

Precautions

Unsuitable group: breastfeeding women. Taboos before examination: No special taboos. Requirements for inspection:

(l) If the tumor is small (less than 2.5 cm) and has no adhesions to surrounding tissues, it should be removed as completely as possible, fixed in 10% formalin, and immediately sent to the pathology department for biopsy.

(2) If the tumor is adhered to the skin, the skin should be excised in a diamond shape during biopsy to facilitate postoperative suturing.

(3) If the tumor is large and adherent to the surrounding area, it is difficult to completely remove it. If it is suspected to be malignant, when removing the specimen, it is necessary to remove 2-3 pieces of tissue from the obvious lesion and different parts as much as possible for pathological sectioning.

(4) If the tumor is far from the nipple, when taking the biopsy specimen, the skin should be cut radially with the nipple as the center. This can reduce the number of milk supply loops cut off without affecting the subsequent radical resection surgery.

(5) If the lump is close to the nipple, make a circular incision along the junction of the areola and the breast skin as much as possible so that the mark is not obvious.

(6) When removing suspicious breast tissue, it is important to reach a sufficient depth to avoid obtaining only necrotic tissue on the surface of the tumor or only a few cells, which would make it difficult to make a pathological histological diagnosis.

Needle biopsy is the gold standard for diagnosing breast cancer

Because the initial treatment of the tumor is very important, it is also very important to clarify the nature and characteristics of the tumor before surgery.

The reason why everyone has such concerns is that they are very unfamiliar with this examination. Puncture biopsy is the preferred recommendation of international diagnosis and treatment guidelines. For larger tumors that can be clearly palpated, direct puncture can be performed. For tumors that are unclear on palpation, puncture can be performed under the guidance of ultrasound, molybdenum target or even MRI. It has high accuracy, minimal trauma, and requires almost no anesthesia or only a small amount of local anesthesia. Puncture several tumor tissues or even several tumor cells for pathology or cytology testing. The puncture site is just a small hole the size of a needle hole, which can be said to be almost non-invasive.