US needle core biopsy

Posted by lizziew @lizziew, Dec 20 4:14pm

They have scheduled me for a US core needle biopsy. I am terrified! why don’t they put you under, like they do for colonoscopy?
I have read horror stories and I don’t want to put myself through it for an almost certain benign oval micro cyst. I have read that the lidocaine injection is the most painful part of the whole thing, but I am needle phobic and just incredibly nervous. Like most women are, I’m sure.
Ladies, any suggestions?

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Profile picture for judeann20 @judeann20

The needle biopsy is uncomfortable and painful for some. I think a lot of these procedures can be done with a little TLC. I had an MRI with a needle biopsy and the bead placed. There was nothing to make your lying on your tummy comfortable at all. Not to move for almost an hour or more with that metal bar pressing on your chest. Your breasts are in metal baskets.
I've addressed this situation a few times. The results are extremely important for a proper diagnosis. I'm certain a mild sedative would alleviate fear, discomfort and pain.
Does anyone care enough to help? Why the torture? Hearing that you may be embarking on a cancer journey is scary enough. AND don't think yourselves babies, not tough enough,etc. You're human beings not a science project!!!

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@judeann20 thank you so much for your post. You nailed it! We are not science projects, and our pain concerns are valid. How hard would it be to give a sedative, or sedation similar to drugs used in colonoscopies?
Think how many lives could be saved if women and men were not afraid of biopsies, prostate, breast, uterine, and others. No one likes pain, and being afraid before procedures is nothing to discount. People should not be made to feel smaller than, be made to feel ashamed, or criticized because of their valid fears.

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Profile picture for judeann20 @judeann20

The needle biopsy is uncomfortable and painful for some. I think a lot of these procedures can be done with a little TLC. I had an MRI with a needle biopsy and the bead placed. There was nothing to make your lying on your tummy comfortable at all. Not to move for almost an hour or more with that metal bar pressing on your chest. Your breasts are in metal baskets.
I've addressed this situation a few times. The results are extremely important for a proper diagnosis. I'm certain a mild sedative would alleviate fear, discomfort and pain.
Does anyone care enough to help? Why the torture? Hearing that you may be embarking on a cancer journey is scary enough. AND don't think yourselves babies, not tough enough,etc. You're human beings not a science project!!!

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@judeann20 I forgot to tell you how sorry I am that your MRI procedure was so uncomfortable. Sounds more like torture really. They need to come up with better procedures. We need to stand up for ourselves.

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Thank you for being so kind.
I had a double mastectomy 1 year ago this past November. One breast with cancer was DCIS. 2 nodes tested negative. I had the other prophylactically removed. Don't want to have the worry. I am very lucky in so many ways. No chemo--no radiation. I am not on AI meds. I expressed my reasons with any and every doctor I had appts. Not all were on board with my decision but I stuck to my guns based on research & REAL WOMEN experiences. I know me better than anyone else. So Ms Lizzie you be an advocate for yourself and do what's best for YOU. Be well and good health to you.

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Profile picture for lizziew @lizziew

@smith777

Thank you for your reply, Susan.
I am going to message my PCP tomorrow and ask her for her opinion on my mammogram/US results. See if she agrees with the recommendation, or if I am good to go on active surveillance for a few months.

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@lizziew Hi

You are very welcome.

So sorry for your stress and potential pain issues.

I believe the immediate best option might be scheduling an appointment with the Pain specialists at your hospital whom would be able to advucate for you in terms of pain treatment and arrange for lidocaine or other pain management.

Active surveillance usually involves more Mammograms or added radiology tests which may require an added • 6 month delay.

This must be a difficult experience for you. I can imagine your distress.

Hopefully the pain specialist meeting will resolve the pain issues.

Best

Susan

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Profile picture for smith777 @smith777

@lizziew Hi

You are very welcome.

So sorry for your stress and potential pain issues.

I believe the immediate best option might be scheduling an appointment with the Pain specialists at your hospital whom would be able to advucate for you in terms of pain treatment and arrange for lidocaine or other pain management.

Active surveillance usually involves more Mammograms or added radiology tests which may require an added • 6 month delay.

This must be a difficult experience for you. I can imagine your distress.

Hopefully the pain specialist meeting will resolve the pain issues.

Best

Susan

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@smith777

Thank you for replying to my post.
I have “white coat” syndrome. Every appointment, my blood pressure skyrockets. So I have that issue in addition to being so nervous about the biopsy. I have very small breasts, and I read that smaller breast have a more painful experience in biopsy. I have a message to my PCP. If she will prescribe a good, effective sedative, and a 10%lidocaine patch, I will go forward with a biopsy. I am being so hesitant because the mass is almost 100% microclusters. Research has been that microcysts are almost always benign. So, I don’t feel an urgency in needing a biopsy. I think that another mammogram and ultrasound in six months is a better option for me. I come from a huge family, huge, on both maternal and paternal sides. No one has ever had breast cancer. Heart disease is rampant, but no cancer. So, I also feel that it is jumping the gun for an almost certain benign condition.

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Hello,

So sorry about the White Coat syndrome and your blood pressure fluctuation.

I feel badly for your pain issues.

Hopefully your primary care physician will assist with your fear of pain and the procedure issues and advocate for pain management by the hospital.

Best,

Susan

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Profile picture for smith777 @smith777

Hello,

So sorry about the White Coat syndrome and your blood pressure fluctuation.

I feel badly for your pain issues.

Hopefully your primary care physician will assist with your fear of pain and the procedure issues and advocate for pain management by the hospital.

Best,

Susan

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@smith777 thank you, Susan.
I’m waiting to hear back from my PCP.

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I have gone in for a few of these and want to let everyone know what they did at the last one that was so darn helpful...so I am on my side with my arm bent over my head as per normal, then the assistant started tapping on my elbow with her fingers, not painful, but hard enough that it distracted me from the doctor giving the lidocaine injection, it worked so well I literally said to the assistant "What kind of witchcraft is this?" and laughed as she started to laugh as well. This is something that the doctors figured out at this specific hospital and they do it with everyone.

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Profile picture for sschafer70 @sschafer70

I have gone in for a few of these and want to let everyone know what they did at the last one that was so darn helpful...so I am on my side with my arm bent over my head as per normal, then the assistant started tapping on my elbow with her fingers, not painful, but hard enough that it distracted me from the doctor giving the lidocaine injection, it worked so well I literally said to the assistant "What kind of witchcraft is this?" and laughed as she started to laugh as well. This is something that the doctors figured out at this specific hospital and they do it with everyone.

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@sschafer70 that is a comforting idea. Distraction can work wonders!

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Profile picture for sschafer70 @sschafer70

I have gone in for a few of these and want to let everyone know what they did at the last one that was so darn helpful...so I am on my side with my arm bent over my head as per normal, then the assistant started tapping on my elbow with her fingers, not painful, but hard enough that it distracted me from the doctor giving the lidocaine injection, it worked so well I literally said to the assistant "What kind of witchcraft is this?" and laughed as she started to laugh as well. This is something that the doctors figured out at this specific hospital and they do it with everyone.

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@sschafer70 thank you for sharing this.

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