Ac concern stems from needle biopsy controversy

[Guest guest]

There has been a longstanding controversy concerning needle biopsy.

 

See the following link for a pretty good coverage.

 

http://chetday.com/needlebiopsy.htm

[Guest guest]

Perhaps a solution is to only needle a nodule if it is clearly

intramuscular, with lymphatic tissue only use superficial methods, and

avoid local Tx of any diagnosed non-benign tumor. This is of course

in addition to informed consent, etc, and advising the involved

physicians that the patient has sought your adjunct care.

 

I consider one of the best ways to get a case to be a specialty

consult that you initially return with any pertinent recommendations,

maybe or maybe not to subsequently be referred to. If you don't have

that kind of relationship, you don't have to ask their permission or

approval, but it's still a good idea to take an opportunity to allay

concerns the physicians may have in a non-threatening informative manner.

 

Opinions?

 

Joe Reid

jreidomd.blogspot.com

[Guest guest]

Thanks very much for the link, interesting article.

I had a personal experience recently with needle biopsy's, not one but two.

The mammogram showed some micro-calcifications.

Apparently the first biopsy missed the area to be targeted.

Two wks later I decided to have it done again.

On the first insertion (they took many zaps/samples)

the radiologist punctured a blood vessel. It must have been a pretty good size

as the subdermal haematoma that I got was huge, almost half that side of the

breast.

I had a pretty mean looking bruise that covered the entire side of the breast. I

kept applying 'kwan loong oil' and eventually the haematoma broke up into

smaller bits, which caused me further alarm, wondering if anything was

spreading.

The results turned out benign. What if they hadn't?

The bruise is 3/4 gone now, 4 wks later.

I also had many x-rays. They tried to reassure me that there is little to worry

about with x-rays now.

I would explore other avenues for sure next time.

 

 

 

 

 

 

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jreidomd

Chinese Medicine

Friday, December 15, 2006 6:40 PM

Re: Ac concern stems from needle biopsy controversy

 

 

Perhaps a solution is to only needle a nodule if it is clearly

intramuscular, with lymphatic tissue only use superficial methods, and

avoid local Tx of any diagnosed non-benign tumor. This is of course

in addition to informed consent, etc, and advising the involved

physicians that the patient has sought your adjunct care.

 

I consider one of the best ways to get a case to be a specialty

consult that you initially return with any pertinent recommendations,

maybe or maybe not to subsequently be referred to. If you don't have

that kind of relationship, you don't have to ask their permission or

approval, but it's still a good idea to take an opportunity to allay

concerns the physicians may have in a non-threatening informative manner.

 

Opinions?

 

Joe Reid

jreidomd.blogspot.com

 

 

 

 

 

 

 

 

 

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