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Topic: Can biopsies cause cancer to spread?

Forum: DCIS plus HER2-positive Microinvasion —

Meet others with this diagnosis.

Posted on: May 2, 2010 12:50PM

amyob wrote:

I just thought this would be a good topic for discussion.   

Dx: 9/19/09, Stage T1mic, DCIS,
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Posts 91 - 100 (100 total)

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May 29, 2017 08:19PM Emily2008 wrote:

Yes, I noticed that line, too. Good point.

I remember asking my BS about it and she was quite clear in her opinion and experience that "seeding" wasn't an issue. I suppose time will tell, but even then, I'll never know for sure.

Dx 5/08, IDC, Left, Stage 1, Grade 1, BRCA 2 pos. Mast. w/TRAM and implant, A/C x 4, Tamox. for 6.5 yrs, ooph and hyst in 2010. Dx. 10/16, local recurrence, Left, Grade 2, breast segmentation, 30 rads from Jan-March 2017, then AIs. Dx 5/14/2008, IDC, Stage I, Grade 1, 0/5 nodes, ER+/PR+, HER2- Dx 10/31/2016, IDC, Left, 1cm, Grade 2, ER+/PR+, HER2-
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May 29, 2017 11:04PM candles1 wrote:

I remember reading somewhere that an excisional (surgical) biopsy with good margins is the "gold standard" if you want to absolutely ensure that a potential malignancy won't be spread by the biopsy procedure. However, surgery is expensive and carries more risk than fine needle and stereotactic biopsies. So, unless you have a ton of cash to pay for one yourself, good luck getting any surgeon to do an excisional biopsy absent other circumstances (such as a failed needle biopsy, or lesion in an area that's hard to reach by needle).

I've had all kinds of biopsies (needle, stereotactic and surgical) and by far have preferred the surgical for the comfort of the procedure as well as the peace of mind (the whole thing is taken out, not just a sample). But, again, these days good luck finding a surgeon willing to do it. Insurers won't pay for it without special circumstances.
Dx 11/8/2016, DCIS, 1cm, Stage 0, Grade 3, 0/3 nodes, ER+/PR+
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May 29, 2017 11:12PM Italychick wrote:

I had excisional biopsy/lumpectomy with no previous biopsy. I was a birads 5 category so maybe that helped with insurance approval, but I had my approval in 24 hours from insurance, no issues at all. I told the surgeon to take a big chunk out, I want one and done if possible, and my surgeon took me at my word, 8 cm x 8 cm x 4 cm. for a 1.3 cm tumor. Now, two and a half years later, I have a slight ripple running across the side of my breast which does not bother me at all. My lump was at 2:00 left breast.

But in my case, they were 99% positive it was cancer, so there wasn't much debate. Other people have different experiences.

Lumpectomy 1/27/15, TCH chemo, Finished chemo 5/27/15, rest of treatments 2/17/16 Dx IDC
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May 29, 2017 11:44PM carmstr835 wrote:

Italychick, I wish I was as lucky as you. Even with a birads5 they refused to do an excisional biopsy.

Dx 3/1/2017, DCIS/IDC, Both breasts, 1cm, Stage IIB, Grade 2, 2/17 nodes, ER+/PR-, HER2+ (FISH) Hormonal Therapy 3/22/2017 Arimidex (anastrozole) Surgery 3/27/2017 Lymph node removal: Right, Sentinel, Underarm/Axillary; Mastectomy: Left, Right; Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Chemotherapy 5/17/2017 Cytoxan (cyclophosphamide), Taxotere (docetaxel) Chemotherapy 6/27/2017 Carboplatin (Paraplatin), Taxotere (docetaxel) Targeted Therapy 6/27/2017 Perjeta (pertuzumab) Targeted Therapy 6/27/2017 Herceptin (trastuzumab) Radiation Therapy 9/11/2017 Breast, Lymph nodes, Chest wall Surgery 7/10/2018 Reconstruction (left): DIEP flap; Reconstruction (right): DIEP flap Surgery 10/16/2018 Reconstruction (left): Fat grafting; Reconstruction (right): Fat grafting Targeted Therapy Nerlynx
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Mar 18, 2018 08:22AM vijaykapoor wrote:

Did she do any other treatment for that micro invasion of sentinel nodes?

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Mar 18, 2018 10:28AM klvans wrote:

After watching my biopsy I asked my Dr. about it. She said no.

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Mar 19, 2018 10:46AM NicolaSue wrote:

I had a vacuum assisted excision biopsy designed to take the whole lump out but during the procedure the machine failed!! The doctor said that she had almost got clear margins and so she would leave it at that as they didn't have a second machine. I have therefore spent a whole year wondering what impact this will have. However I can't do anything about it. No one would go in there again as it was 'only' LCIS so I just have to live with that fear that a 'bad' biopsy might do some harm.

LCIS diagnosed Spring 2017. Vacuum excision biopsy. First follow up mammo 2018 - clear
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Nov 7, 2018 12:18PM nanette7fl wrote:

hello I'm new here recently diagnosed with IDC 1A and tumor on Oct 23 2018 was 1.9 cm. Had biopsy done fiund ouy it is triple positive and went for breast MRI last week and now my tumor has been broken up into 5 separate pieces and they have moved!! Original tumor was at 11 o'clock in my left nreast and I have pieces at 11..12...3 ..6. And 2 o'clock. The 6 o'clock one is now large enough that I can feel it in the shower. I have to have a bi-layeral ultrasound tomorrow per surgeon and possible biopsy in the right breast as 2 new neoplasms have shown up at 11 & 12. I was originally to undergo a left lumpectomy but now I'm sure that is even possible anymore. I'm really REALLY pissed that it was once a "nice neat little tumor" and now it's seeded out. Surgeon told me when we met that the radiologist made a "mess: doing 5he biopsy now I see why she said that.

Sorry I'm feeling really bummed right now amd trying to keep the sun shining in the shafows right now.

~Nanette Dx 10/23/2018, IDC, Left, 1cm, Stage IA, Grade 3, ER+/PR+, HER2+ (FISH) Chemotherapy 12/5/2018 Taxol (paclitaxel) Targeted Therapy 12/5/2018 Herceptin (trastuzumab) Targeted Therapy 3/1/2019 Herceptin (trastuzumab) Surgery 4/2/2019 Mastectomy: Left; Prophylactic mastectomy: Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Radiation Therapy Lymph nodes, Chest wall
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Nov 8, 2018 03:34PM Moderators wrote:

Sending you hugs nanette7fl. We hope that you can answers soon, and not have to endure any more biopsies. Medicating

To send a Private Message to the Mods: community.breastcancer.org/mem...
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Nov 9, 2018 06:26AM Rah2464 wrote:

Such an interesting thread. My core needle biopsy felt very violent because I had small, dense breasts. The doctor had to really manipulate the tissue to get to the area for biopsy. My tumor was closer to my chest wall so that really makes me anxious. And I don't think mine was a vacuum assisted device which should be a gold standard if it reduces potential of seeding. Just look at the new information that has come out about greater risk of seeding with laparoscopic surgery for cervical cancer! When I was 30, I had a suspicious mass removed in my right breast surgically. I have to say having had both types of biopsies the surgical one seems to be safer (because you get the entire mass). I do worry about any errant cells even though I did a BMx.

Dx 5/23/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- (IHC) Surgery 6/27/2018 Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 7/27/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)

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