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Topic: Is Excisional breast biopsy necessary?

Forum: Benign Breast Conditions —

A safe place to discuss benign (non-cancerous) breast conditions. Benign breast conditions are unusual growths or other changes in the breast tissue that are not cancer, though some may be associated with an increase in breast cancer risk. Benign breast conditions are quite common.

Posted on: Jun 1, 2021 12:37AM

PollyS wrote:


Hello! I’m Polly.. During my recent visit to BS, she said she wants to perform excisions breast biopsy on my 2:00 lump since it’s growing.. But what I don’t understand is that it grew only a little in last 6 months so why not monitor again for next 6 months and then decide? Am I missing something?

(P.S. I was on my periods when I went for ultrasound. Not sure if this information is of any use.)

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Jun 1, 2021 04:40AM Rah2464 wrote:

Polly I think you should have another discussion with your BS to pose your question. She is obviously being very careful with you and you should clearly understand her thinking. Ultimately it is your decision whether or not to pursue a biopsy at this time, based upon the information your surgeon provides. I had an excisional biopsy way back when - it isn't bad at all although you will have a small scar. From my view, I wanted to be absolutely sure there was nothing I had to deal with. Best to you as you decide on this.

Dx 5/23/2018, IDC, Left, 1cm, Stage IA, Grade 2, 0/4 nodes, ER+/PR+, HER2- (IHC) Surgery 6/26/2018 Mastectomy: Left, Right; Reconstruction (left): Silicone implant; Reconstruction (right): Silicone implant Hormonal Therapy 7/26/2018 Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Jun 1, 2021 07:53AM Monarchandthemilkweed wrote:

I also had an excisional biopsy and it was very easy procedure and recovery and I was in my second trimester with my second baby. I would have it done if I were hk

Sarah, Chek2 positive Dx 3/11/2021, IDC, Left, <1cm, Grade 2, 0/2 nodes, ER+/PR+, HER2- Surgery 5/9/2021 Lymph node removal: Sentinel; Mastectomy: Left, Right; Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Chemotherapy 6/27/2021 Cytoxan (cyclophosphamide), Taxotere (docetaxel)
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Jun 1, 2021 11:15AM PollyS wrote:

She said once it starts growing, it's likely that it will keep getting bigger so better to take out early. Plus, BIRADS 4A is something she doesn't like although we had done biopsy 2 years ago and it said it's Fibroadenoma. So I'm totally confused now.. Sad

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Jun 1, 2021 11:18AM PollyS wrote:

That is one of my concerns.. I'm planning for a baby so it's better to take it out beforehand because if and when I get pregnant, I don't want to get into all this...

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Jun 1, 2021 01:24PM - edited Jun 1, 2021 01:25PM by B-A-P

Polly,

I had an excisional biopsy to see if my nipple discharge and bleeding was a papilloma. It indeed was, but they also discovered DCIS and that finally got the ball rolling on my diagnosis. It was a very easy procedure. I had twilight sedation and I was super relaxed and happy as a clam. I only wish my specialist had believed me sooner when I had problems. Your doctor is being careful and I really admire that.

In the end, it is up to you.

good luck!


Dx 8/17/2018, IDC, Left, Stage IV, metastasized to liver, ER+/PR+, HER2- (FISH) Chemotherapy 9/18/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil) Surgery 2/26/2019 Mastectomy: Left, Right Radiation Therapy 4/29/2019 Whole-breast: Breast, Lymph nodes, Chest wall Targeted Therapy 10/8/2021 Ibrance (palbociclib) Dx IDC, Stage IV, metastasized to liver, ER+/PR-, HER2- (FISH) Hormonal Therapy Faslodex (fulvestrant) Chemotherapy Abraxane (albumin-bound or nab-paclitaxel) Hormonal Therapy Femara (letrozole) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Prophylactic ovary removal
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Jun 2, 2021 07:55AM SummerAngel wrote:

If it's growing and already determined to be a fibroadenoma it's pretty standard to take it out, because some fibroadenomas can get very large.

Age at dx: 45. Oncotype, left-side tumor: 9. Right side had multifocal IDC and "extensive" LCIS. Isolated tumor cells in 1 right-side node. Dx 3/27/2015, IDC, Left, 2cm, Stage IIA, Grade 1, 0/3 nodes, ER+/PR+, HER2- (FISH) Dx 4/27/2015, IDC, Right, 1cm, Grade 1, 0/2 nodes, ER+/PR+, HER2- (FISH) Surgery 6/1/2015 Lymph node removal: Sentinel; Mastectomy: Left, Right Surgery 6/1/2015 Reconstruction (left): Tissue expander placement; Reconstruction (right): Tissue expander placement Surgery 8/27/2015 Reconstruction (left): Fat grafting, Silicone implant; Reconstruction (right): Fat grafting, Silicone implant Surgery 12/3/2015 Reconstruction (left): Fat grafting, Nipple reconstruction; Reconstruction (right): Fat grafting, Nipple reconstruction
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Jul 16, 2021 11:21AM BrooklynWoodpecker wrote:

I've had fibroadenomas over the past 10 years, and I've learned that there are less invasive options for masses less than 2 cm, such as cryoablation --- I wish that I knew this earlier, because I would have looked for those. The research on this started 20 years ago and the results in the published papers look good. You can also find a trial for them. Search clinical trials dot gov for fibroadenoma. I wanted to join one of these trials, but my current fibroadenoma is too large.

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