Definition. What is?
The ultrasound biopsy (Eco Bag) is performed with a thick needle and is guided by ultrasound, that is, we will see the lesion through the ultrasound screen and insert the needle with which we will remove tissue from the lesion. so that specialist pathologists can then analyze and diagnose.
So, a biopsy involves removing samples (tissue cylinders) from the lesion.
When is the test indicated?
This test is indicated for patients with visible lesions through ultrasound, as well as palpable lesions. We will use the Eco Bag to diagnose the lesion as long as the radiologists find it advisable to puncture it to rule out whether it is benign or malignant.
How do I prepare?
No preparation is required; It will only be convenient if you take anticoagulants, Sintrom® (to make blood thinner), platelet antiaggregants, or if you have hepatitis.
In the case of hepatitis, only a recent examination will be needed; in other cases, they will have to follow a pre-biopsy pattern that will be explained by our nursing service or by their doctor.
It is also important to note that ASPIRINA® is not taken on the day of the biopsy as it will make you bleed more.
Procedural reasons
The procedure performed on this test once the doctor examines and decides to do the biopsy is as follows:
The ultrasound scan will locate the site of the lesion, then the puncture site will be disinfected, and the local anesthetic is applied with a fine needle. Then a small cut with a scalpel blade will then be made so that a thicker needle can be inserted, and this will be the one that will remove the tissue cylinders.
Finally, once at least three samples have been removed, if these are complete and good, a biopsied compress will be performed on the biopsied area to avoid a blue and at the same time blood to flow out.
To finish, the healthcare staff will do a dressing and put ice in the area to prevent a bigger blue and inflammation. The ice will leave for about an hour and it will take you when you leave.
What will you notice?
All you will notice in this test is the puncture of the anesthesia and a lameness in it, then you will only notice that they touch it and that they press on the area of the lesion, you should not feel pain, if you notice you must let her know so that she can give her some more anesthesia.
It's important to say that the lesions closest to the nipple may be a bit more painful.
Risks and complications during the procedure
The only risk that may be there is an allergy to the local anesthetic and a reaction to it. Whenever you know you are allergic to the anesthetic, you should inform your healthcare professional. The anesthetic used is the same as that used by dentists. Complications that may arise during and after the biopsy are:
Bleeding a lot during and after the biopsy is enough just for good compression.
Internal bleeding in the breast, if a few hours after the biopsy, a gradual increase in the breast is noticeable.
Getting an infection, if the breast becomes inflamed after the test days, it becomes hot and red.
If any of the last two complications occur, you must come to the emergency department with a letter that we give to all patients who have performed a biopsy explaining the procedure of the test and so that the doctor can give a treatment.
Discomfort in the test
The pain you may have after performing the biopsy is a bit of a pain once the effect of anesthesia has been awakened.
Once the biopsy has been performed, we recommend a 12-hour rest, that is, no exercise, no work with arm movements or repetitive movements (washing dishes, rubbing, spreading). clothes, ...).
Whenever you have pain you can take paracetamol or anti-inflammatory but never Aspirin® as it will bleed more and therefore a bruise bigger blue.
Once we are done, what do we do?
When the biopsy is over we take care of the samples so they can be analyzed. The result is given after about 15 days. The patient will be referred to the breast pathology unit, where breast specialists will provide the appropriate treatment for each type of injury.
If you come from another center, the results will be sent to your referral center.
Complementary tests
One of the tests doctors may ask for after a biopsy is an MRI to do an extension lesion study.
