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Best strategies for Breast Biopsy in India-Video

Breast Biopsy in India is available at various hospitals of Mumbai, Bangalore, Hyderabad, Chennai and New Delhi. Breast Biopsy in India is available at hospitals that have got finest team of surgeons and physicians that provide excellent and comfortable treatment to the patients. The endeavor of the doctors / physicians performing breast biopsy in India is to go beyond the expected and deliver the most enriching positive experience to each of our patients. Today with the use of modern technology at hospitals in India, the cure rate of breast cancer has increased. An Intraductal pappilomas is a tiny wart-like growth in breast tissue that sometimes punctures a duct. These benign tumors are composed of fibrous tissue and blood vessels.

Intraductal pappilomas grow inside your breast's milk ducts, and can cause benign nipple discharge. Intraductal pappilomas is near or just beside a nipple, it may feel like a small lump. Solitary Intraductal pappilomas usually occur in the large milk ducts near your nipple. When one of these breaks a duct, it can cause a little clear or bloody nipple discharge, which is usually not worrisome. If you have multiple papillomas, they usually occur deeper inside your breast, and can't easily be felt.

Symptoms for breast biopsy

• Breast enlargement
• Breast lump
• Breast pain
• Nipple discharge

The patients who are affected by Intraductal pappilomas have to undergo through the breast biopsy therapy as a part of medication.

Types of breast biopsies are:

• Open Excision Breast Biopsy - This procedure can be performed whether the breast mass is palpable or impalpable and is usually performed under local anesthesia. In this procedure a small incision of about 1 to 2 inches is made as close to the lump as possible. The surgeon removes a piece of tissue, or if it is small, the entire lump and the incision are sutured. If the lump cannot be felt, the patient goes through radiology and a mammogram is used to pinpoint the lump. A wire needle is inserted into the breast, marking the location of the lump. The wire is left inside the breast and taped to the skin, and the patient is taken to the operating room to have the biopsy.
• Closed breast biopsy – The closed biopsy is the same as open biopsy but in this biopsy the surgical cut is made wider as compared to open biopsy. The small cut is made so that a camera-like instrument can be inserted. This instrument can be used to see the area, and helps guide the surgeon to the appropriate place to take the samples of intraductal papilloma.
• Sentinel node dissection - Sentinel node biopsy is a less invasive breast biopsy surgery and carries a lower risk of complications than axillary node dissection. The sentinel node is the first lymph node that filters fluid from the breast. The intraductal papilloma cells reach the sentinel node first and it is this lymph node that is more likely to contain cancer cells. Based on this assumption, the node most likely to contain malignant cells should be removed and analyzed. If the sentinel is free of cancer cells, then it is highly unlikely that the other nodes are positive. This technique, combined with lumpectomy, is easily performed as an outpatient procedure and causes less pain and deformity than an axillary node dissection.
• Axillary node dissection - The axillary lymph nodes are located under the arm. Axillary node dissection is performed to determine if cancer has spread beyond the breast. Cancer cells found in the lymph nodes suggest that it may have spread to other parts of the body and the patient may need more aggressive treatment. An axillary node dissection may be done at the same time as a lumpectomy or a mastectomy. It may be scheduled following a positive biopsy. In this type of breast biopsy surgery the surgeon makes an incision under the arm and removes a pad of fat in which 10 to 20 lymph nodes are embedded. The incision is sutured and a drain may be put in to remove excess fluid.
• Needle aspiration - In this type of breast biopsy, a needle is used to aspirate (draw out) fluid or tissue from a breast lump. Needle aspiration leaves no scarring, is less invasive and quicker than open excisional biopsy, and usually does not require stitches or a recovery period. After this type of breast biopsy surgery the patient can resume regular activities immediately. Unlike surgical biopsy, needle aspiration cannot remove the entire intraductal papilloma and misdiagnosis can occur.

Needle aspiration procedures include the following

• Fine needle aspiration
• Core needle biopsy
• Vacuum-assisted biopsy
• Large core biopsy

Fine Needle Aspiration - The surgeon uses a fine hollow needle that is attached to a syringe to extract fluid from a cyst or cells from a solid lesion. Several insertions are usually required to obtain an adequate sample.

If the lump cannot be felt, ultrasound may be utilized to help the physician guide the needle into the breast and to the lesion. Stereotactic mammography may also be used. This mammography utilizes a computer to pinpoint the mass, cyst or intraductal papilloma. Mammograms are taken from two angles and the computer maps the precise location of the lesion. There is no incision and a very small bandage is put over the site where the needle entered. Fine needle aspiration is the easiest and fastest method of obtaining a Intraductal pappilomas, and is very effective for women who have fluid filled cysts.

Core needle biopsy - This procedure is similar to fine needle aspiration, but the needle is larger, enabling a larger sample to be obtained. Ultrasound or stereotactic mammography is used if the lump cannot be felt. Three to six needle insertions are needed to obtain an adequate sample of tissue. Core needle breast biopsy may provide a more accurate analysis and diagnosis than fine needle aspiration because tissue is removed, rather than just cells. This type of breast biopsy is not accurate in patients with very small or hard lumps.

Vacuum-assisted biopsy - This method of breast biopsy utilizes a vacuum-like device to remove breast tissue. Stereotactic mammography is used to guide a breast probe to the lesion. Computers are used to pinpoint the mass and the suction draws out the breast tissue. The needle is inserted once to obtain multiple samples of intraductal papilloma. In some cases, the entire lesion may be removed. Vacuum-assisted biopsy is safe, reliable, and valuable for patients who are not candidates for other minimally invasive biopsy techniques and those who wish to avoid surgical biopsy.

Large core biopsy - This procedure, also called advanced breast biopsy instrumentation (ABBI), is an alternative for patients who prefer a less invasive procedure than surgery. Large core biopsy is able to remove a sizeable specimen, an entire lesion or intraductal papilloma using a surgical device and stereotactic mammography. It combines wire needle localization and the ability to remove a tissue specimen and allows the sample to be removed in one piece.

A very small incision is made and a cannula (i.e., a tube and a cutting device) is passed through the incision. Breast tissue is removed through the tube. A few stitches may be required to close the opening in the skin.

Risks associated with breast biopsy

• There is a slight chance of infection at the injection or incision site.
• Excessive bleeding is rare, but may require draining or re-bandaging. Bruising is common.
• There will be a small scar. Depending on the amount of tissue removed and how the breast heals, the appearance of the breast may be affected.

Breast biopsy in India is available at hospitals that are comprehensive, multidisciplinary and advanced by latest technology with the most competent and highly skilled health care professionals. The facilities at various Indian hospitals are excellent and international patients have always enjoyed their stay. Breast Biopsy in India is performed by skilled specialists who are aided by the latest medical technology.

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