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Apr 3, 2019 03:13PM
Mamaofthree, now that you've explained more about your situation, it actually makes perfect sense.
You had a needle biopsy, as would normally be expected when something suspicious shows up on imaging. The results of the needle biopsy were discordant. This means that the imaging showed one thing but the biopsy results showed something else. In other words, from the imaging, it appeared most likely that the suspicious area was "ABC" but the biopsy found "XYZ". It also appears that the needle biopsy sample was small, which can happen if the area of suspicion is in a location of the breast that is hard to access with a needle, such as near the chest wall or up against the skin. With a too small sample, it's possible that the area of suspicion wasn't adequately sampled, which could explain the discordant result.
The normal next step after a discordant or incomplete needle biopsy is to follow-up with an excisional (surgical) biopsy, which is what you've had done. This is still a biopsy, but to ensure adequate sampling, the entire suspicious area is surgically removed.
As for your procedure being called a lumpectomy, as djmammo noted and as I mentioned in my earlier post, the more accurate/correct term for your surgery is an excisional biopsy, since the objective is to biopsy the suspicious tissue to determine whether or not there is any cancer present. In my years on this site, I have seen situations where insurance companies, doctors and hospitals sometimes call an excisional biopsy a lumpectomy. This can be confusing to the patient, and as djmammo points out, it can be confusing to other doctors in the future if they see the word "lumpectomy" on a medical history for a patient who has never had breast cancer. From what I've seen, the term "lumpectomy" is usually used only for administrative ease. Although the objective of each operation is different, the basic surgical procedure is the same, so by using one name for both operations, a facility only needs to prepare one procedural document and doctors, nurses, anaesthesiologists, etc. only need to be familiar with only one set of processes.
Over the years, I've had 3 excisional biopsies, although I honestly don't know what any of those 3 hospitals called the procedure. Two were benign and one found cancer.
Good luck with your results. Hope it's benign
“No power so effectually robs the mind of all its powers of acting and reasoning as fear.” Edmund Burke