I had a stereotactic core biopsy performed two weeks ago on one small cluster of microcalcifications ( <.5cm diameter). It was incredibly painful; not enough lydocaine was used and I felt one huge jab and lots of pushing and pulling. I hyperventilated during the entire procedure (performed at a major hospital in my town). I am extremely athletic and have a moderate level of pain tolerance but this left me in tears. Now, two weeks later, my breast is still sore to the touch and it feels like there is a hematoma inside. Two doctors have examined me since and shrugged, saying the pain will go away.....is this normal to still have pain and swelling after this procedure 2 weeks later? Before doing a surgical biopsy, they now want to do an MRI. There is no elevated concern of anything, but a "let's just be sure" attitude. Is this normal? The DCIS area in question is less than .5 cm...and that was before the core biopsy. I think having an MRI right now while there's still blood collected in the biopsy site is a bad idea. The hematoma will distort the MRI image, right? No cancer of any kind in my family ever and I am a healthy and lean 48 year old. What is going on?
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Ang7 Joined: Jul 2009 Posts: 46 |
Oct 25, 2009 08:56 pm
Ang7 wrote:
I'm sorry I do not have much information for you. I do know that with my stereotactic core biopsy I had a hematoma for 3 months. It was still painful and sore the morning that I was going in for surgery to have the mastectomy! I hope others will add their thoughts and they may help you... Hugs, Ang |
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swalters Joined: Jan 2009 Posts: 30 |
Oct 25, 2009 09:49 pm
swalters wrote:
Although I did not have a hemotoma, they had to do the stereotactic biopsy twice on me. I thought the whole thing was barbaric. Now, 2 years later they want to do another one and I said no thanks. After I have a RODEO MRI, which is the best for DCIS in my opinion, I might consider an MRI or ultrasound guided biopsy, depending what they find from the MRI. You didn't say what the results of your biopsy were. Hope everything is ok for you. Blessings, Sandie Diagnosis: 6/22/2008, DCIS, <1cm, Stage 0, Grade 1, 0/0 nodes, ER+/PR+ |
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sue50 Joined: Feb 2009 Posts: 48 |
Oct 25, 2009 10:02 pm
sue50 wrote:
Amain, sorry to hear that your core biopsy was so painful. I also had a very painful experience followed by swelling and a hematoma. The hematoma even bled weeks later; suddenly all this dark-looking blood appeared in the shower! When I had my mastectomy later, the surgeon told me they found a significant hematoma left from the core biopsy. You should follow up until you are confident that you have had the best possible treatment for your situation. It doesn't matter if you have no prior family history; if they found DCIS in You, guess what, now you have family history! You should have some kind of answer from that biopsy, was it DCIS or not? I don't have time for doctors shrugging or giving ambiguous answers. You can have your biopsy samples transferred to another hospital. Find another doctor that has definitive answers for you, it's worth the extra effort. Hope this helps sue Sue Dx 2002 DCIS Stage 0
Diagnosis: 11/26/2008, IDC, 5cm, Stage IIIc, Grade 3, 5/21 nodes, ER+/PR+, HER2- |
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deb50 Joined: Oct 2009 Posts: 3 |
Oct 25, 2009 11:26 pm, edited Oct 25, 2009 11:32 PM
by deb50
deb50 wrote:
sue50, glad to hear your assertive advice! I feel the same way. I plan to be assertive tomorrow morning when I call our breast center and ask the nurse practitioner, who told me of the mammo/us findings, why we can't just get a biopsy appt scheduled instead of waiting until we meet on Tue morning to go over the findings and everything first. I just don't understand why we have to wait to schedule the biopsy, when she already went over a lot of the info on the phone with me. I know sizes, locations, and that 80% of lumps are benign; so why not just go ahead and schedule the biopsy since I'm told one is needed to rule in or out cancer. I tend to get a little impatient, as I'm an informational sponge; I feel so much better knowing. Thanks for listening! I am a little nervous now, though. I want to know, but not sure if biopsy will be painful for me. I hate painful perceedures, as I'm remembering my cervical biopsies done in my doctor's office years ago; very painful!! |
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roseg Joined: Sep 2004 Posts: 8,487 |
Oct 26, 2009 06:54 am
roseg wrote:
I thought the core biopsy was the worst part of the whole thing! I hated being on that table. I didn't have a hematoma but it wasn't pleasant and took almost a month to heal. Are you keeping pressure on? Be sure your insurance will cover the MRI before you agree. They are expensive and not a solid standard of care so approval before the imagining would be prudent. Rose
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KAR Joined: Apr 2009 Posts: 171 |
Oct 26, 2009 12:24 pm
KAR wrote:
Amain: I also had a very painful sterotactic biopsy and I think they took like 10 passes-horrible. I had quite a bit of bleeding after and developed a hematoma that was very painful. I don't remember timing but after this stero had an MRI and it showed nothing. I had to wait to have lumpectomy until the hematoma had shrunk down a bit (no idea why) I think a month at least. The good news is that the lumpectomy was way easier, they knocked me out and actually had less pain after than the biopsy. My MRI didn't show the remainder of my dcis though. This is just my experience everyone has a diffrent story. Good luck Diagnosis: 4/6/2009, DCIS, 3cm, Stage 0, Grade 3, 0/3 nodes, ER+/PR+, HER2- |
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ljperezTX Joined: Oct 2009 Posts: 14 |
Oct 26, 2009 12:35 pm
ljperezTX wrote:
I think that it depends on the location of the biopsy. My first biopsy was on the right breast on the lower center quad. It was uncomfortable but not painful and no hematoma. My MRI came back with some unexpected results, per the doc "not indicating" cancer but she wanted me to have another diagnostic mammo on both breast and "if needed" another biopsy. Turns out that they biopsied both breast. The right breast lower left quad, again uncomfortable but not painful. However on the left breast they biopsied near the nipple, and just the injection of the lydocaine almost pulled me up from the table, and to make matters worse, they biopsied 2 areas of the left breast and both near the nipple. That has been almost 3 weeks and my left breast is still tender. The results were that they found an additional area of cancer in the right, changing the required surgery from a lump. to a mast. The Dr. said that the found a benine tumor in the left and it needed to be biopsied. When she said that I almosted fainted, I told her I did not think I could do that again, then she explained that she ment surgically and would do it the same day as the mast. Which has not yet been scheduled. I am hoping for immediate reconstruction, only to get the majority of the pain and disability over with at one time, and the PS and OS have to match up their schedule. ljperezTX
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sue50 Joined: Feb 2009 Posts: 48 |
Oct 26, 2009 09:11 pm
sue50 wrote:
Hey Deb50, hope your appointment goes well tomorrow and you get your appointment scheduled. It really does feel better to have a Plan in place, and questions answered. The biopsy, painful or not (hopefully not) could be saving your life. You can do it!!!! when you're done, please be sure to rant here! It helps!! ((praying for & and sending a gentle hug to you)) You know I should mention that later in my journey (a year ago) they did fine needle biopsies on breast area and also a lymph node in my armpit (ewwww!!). As expected the breast area was no big deal (since breasts and a lot of nerves were already removed) but even the armpit procedure was ok. Not fun but tolerable, much easier than the Core. I have to agree with Roseg, that for me the core was the worst part of the whole thing. Sue Dx 2002 DCIS Stage 0
Diagnosis: 11/26/2008, IDC, 5cm, Stage IIIc, Grade 3, 5/21 nodes, ER+/PR+, HER2- |
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NewBride Joined: Oct 2009 Posts: 14 |
Nov 1, 2009 05:53 pm
NewBride wrote:
Youch! Me too. When they told me that they were going to advance the needle I was thinking more in terms of a syringe than a pneumatic ram. It startled me so badly I nearly jumped off the table. Needless to say I sustained a pretty good size hemtoma and some very colorful bruising as a result. I know a graphic description of the procedure would have been hard to take but I can't help feeling that had I been better informed my reaction might not have been so extreme. I'm 9 days out from the core biopsy and I stopped sleeping with my bra on about 2 days ago ( I hardly ever wore one before this, Ironic,huh.). Anyway, a heads up might have been nice. Forwarned is forarmed. Right? Diagnosis: 10/27/2009, DCIS, Grade 3, ER+/PR- |
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ljperezTX Joined: Oct 2009 Posts: 14 |
Nov 1, 2009 11:53 pm
ljperezTX wrote:
NewBride, I don't think anything forarm you enough for one of those painful biopsies. I really do not think I could allow them to do that again. And like you I even slept in a #@* bra for a couple of nights. Now I have been waiting for 2 weeks for the doctors to get their schedule together. ljperezTX
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Anne1962 Joined: Oct 2009 Posts: 26 |
Nov 2, 2009 12:31 am
Anne1962 wrote:
Amain, I had a very painful experience with a stereotactic biopsy, too, and I also developed a hematoma. It took a lot of time and pressure applied by the nurse to stop the bleeding. Afterward, they wrapped me so tightly to make sure I wouldn't bleed that when my husband unwrapped me two days later, I almost passed out. It also took a long time before I could even stretch my arms over my head. I was in very good shape before the procedure; I lifted weights, etc. I am only just getting back to doing push-ups again. I still have occasional aches and pains in my breast where they did the biopsy and there is still a hard lump where the hematoma and scar are. I had the procedure done 8-18-09. I asked the nurse about it and she said it is normal to have pain this far out from the procedure. (I would ask your BS about this for sure, though.) I don't want to scare anyone; the procedure, while painful, was doable. The second numbing needle really hurt, but it didn't last forever. Towards the end I could feel the core needle cutting and was about to ask for more pain medicine, but they were finishing up. The recovery was the worst part of it for me. I was told it was a lot tougher on younger and smaller breasted women. Also,hematomas aren't supposed to be the norm; I guess we were just lucky! Feel free to ask me anything, and please, let us know how you are doing. Anne1962 Anne1962
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NewBride Joined: Oct 2009 Posts: 14 |
Nov 2, 2009 01:20 pm
NewBride wrote:
ljperez TX, Yea, I guess you're right. Knowledge is power but that core biopsy beats all, huh? If I have to do it again I'll definitely make them wait until I'm REALLY freeling the Valium before I even disrobe. Looking back, It does seem like "their schedule be #@!%*!" would have been the proper attitude to take. I wonder if there's a practical way to for us to be sedated even more. As for scheduling, I share your frustration. In an effort to waste as little time as possible I am returning to my primary doc for a referral for a 2nd opinion even before I've had my 1st surgical consult. Diagnosis: 10/27/2009, DCIS, Grade 3, ER+/PR- |
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Mom2-4 Joined: Sep 2009 Posts: 7 |
Nov 2, 2009 02:31 pm
Mom2-4 wrote:
Amain, A doctor "shrugging" you off is not an appropriate response. I had a bad experience with the core biopsy too and I won't let them do it again... An MRI is a common tool for doctors to use for additional looks at the breast after a Mammo. I would express your concern to your docs regarding the hematoma-but go through with the MRI. My MRI (that I had after the core and after the 1st lump) was able to detect addtional area of DCIS. It also could pick up non cancerous findings, but better to know what you are dealing with now rather than later. Good luck to you!! |
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writer Joined: Nov 2009 Posts: 2 |
Nov 4, 2009 12:25 am
writer wrote:
YES! I was furious after mine. I had recently had my first colonoscopy, which other than drinking the nasty stuff, was entirely pleasant, and I'm not a feminist rabble-rouser, but I swear it's because men don't have to have breast biopsies. It should be treated just like a colonoscopy, where you're put in a happy place. I have to have another biopsy, and I am going to beg my BC surgeon (a woman I haven't even met yet) to do it in a more humane way. An earlier poster is right, it is barbaric, and there's no excuse for it in this day and age. I was not prepared for how painful it would be, and what a toll it would take, and I felt patronized by the whole thing. |
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Cathy888 Joined: Nov 2009 Posts: 1 |
Nov 16, 2009 01:49 am
Cathy888 wrote:
Hi Amain, I also had a stereotatic core biopsy on my left breast. It was painful for me too. I still have bruising after a month but my breasts are no longer sore. I am 45 years old and have no family history of breast cancer too. It's been a very emotional roller coaster. I was diagnosed with DCIS too and cried when I got the news. My doctor advised me to get an MRI and they found something else in both breasts now. I'm very scared. |
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CrunchyPood
Joined: Sep 2009 Posts: 144 |
Nov 16, 2009 09:01 am
CrunchyPoodleMama wrote:
Girls, I'm so sorry to everyone who had crappy core biopsy experience! It should NOT be that way. I have to have another biopsy, and I am going to beg my BC surgeon (a woman I haven't even met yet) to do it in a more humane way. An earlier poster is right, it is barbaric, and there's no excuse for it in this day and age. I was not prepared for how painful it would be, and what a toll it would take, and I felt patronized by the whole thing. So this is a different surgeon than the one who did your first one? Hopefully this one will go MUCH better. I had my first stereotactic core biopsy on Tuesday, and it went the way I think most core biopsies should go. (I had at least a dozen cores removed, probably more than 15, throughout an area that covered probably 1/3 of my breast... a 4cm mass area plus a larger area of calcifications). Maybe my experience wasn't typical, but from what my doctor said, there shouldn't be any major pain during the procedure! The only pain I felt was mildly when the anesthetic was being inserted. I grimaced throughout most of the procedure, only because I was afraid it was going to hurt, and the doctor kept asking if I was feeling pain, but I really didn't. I think bedside manner is half of it. My doctor was very kind and considerate, and explained what he was about to do every step of the way, and let me know what I might feel and/or hear. He let me listen to my iPod (though I ended up having it on low most of the time because we were chatting). We were talking and even joking (NOT recommended -- I was afraid I was going to laugh with that thing in me!). The assistant was sweet and actually held my hand near the beginning of it (when I was still somewhat terrified it was going to hurt). I had met with two other doctors previously and didn't like how they brushed off my questions and tried to bully me into doing things a certain way. To me, that was a clue that they may not be the most caring during a procedure like a biopsy. (Maybe they are, but I needed a doctor I was comfortable with and who was very patient in answering my questions.) If any of you need to have another core biopsy and weren't happy with how your doctor performed yours, PLEASE consider finding a different doctor. I think of it this way... the way a doctor performs a core biopsy is indicative of how skillfully they will perform a lumpectomy/mastectomy. Granted, a core biopsy (especially when you have a rather sizable area to be sampled) isn't exactly a day at the spa. But, as I told someone afterward, "It was more painful than a massage, less painful than a brow wax!" If yours was done harshly to the point that it felt barbaric, PLEASE avoid going back to that doctor if you possibly can! Julia
Diagnosis: 11/13/2009, 4cm |
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Madalyn Joined: Jul 2007 Posts: 768 |
Nov 16, 2009 10:15 am
Madalyn wrote:
I agree with Julia ... considering finding another doctor would be a very good idea for those of you who had horrible experiences. Mine was as OK as such a thing can be. No real pain ... they kept asking me about every 2 seconds if I felt anything and needed more numbing. She told me exactly what she was doing and demonstrated the sound of that staple gun thing so it wouldn't scare me. I'm really surprised and disgusted to read how badly some of you were treated. Diagnosis: 3/6/2006, IDC, 3cm, Stage IIa, Grade 2, 0/4 nodes, ER+/PR+, HER2- |
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stephanie1 Joined: Mar 2009 Posts: 73 |
Nov 16, 2009 10:21 am
stephanie1 wrote:
Crunchy The doctor that performed my biopsy did just fine on her bed side manner. The pain I experienced had nothing to do with how the doctor was treating me. In fact as I laid crying they were all very comforting to me and told me what a good job I was doing even though I felt like a big baby. I am glad that you have not had any pain and hope that continues in your journey. NEWBRIDE I had the exact same experience as you. I was almost in shock when the pain from the punch came. I was duped into believing there would be minimal pain and the shock of it all was a lot to bare so you are not the ONLY one. As with any procedure or surgery or chemo, I think each one of us has their own experience. After having surgery and being through chemo and rads; for me the biopsy and then subsequent sentinel node blue dye injections were horrendous as I was awake for it. Diagnosis: 1/26/2009, IDC, 3cm, Stage IIb, Grade 2, 3/18 nodes, ER+/PR+, HER2- |
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KRMC Joined: Aug 2009 Posts: 14 |
Nov 16, 2009 10:56 pm, edited Nov 16, 2009 11:00 PM
by KRMC
KRMC wrote:
Mine was a painful experience too. Made me really really nauseated. They did numb me up pretty good, just like going to the dentist they said so if you require alot of numbing shots at the dentist they will double it up for the core biopsy. I also had some pain pills and took one before I went or I cant imagine how painful it would have been without it. Its one of the most painful things Ive had. Ive had 2 c sections, hysterectomy, 2 breast surgeries and just had eye surgery last week. A radiologist performed mine, not my breast surgeon- oncologist. Diagnosis: 4/22/2009, DCIS, Stage 0, 0/0 nodes, ER+/PR+ |
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