{"id":1952,"date":"2021-07-01T14:27:19","date_gmt":"2021-07-01T11:27:19","guid":{"rendered":"https:\/\/ikalogiannidis.gr\/%ce%b5%ce%be%cf%89%ce%bc%ce%ae%cf%84%cf%81%ce%b9%ce%b1-%ce%ba%cf%8d%ce%b7%cf%83%ce%b7-%ce%ad%ce%ba%cf%84%ce%bf%cf%80%ce%b7-%ce%ba%cf%8d%ce%b7%cf%83%ce%b7\/"},"modified":"2021-07-13T14:13:35","modified_gmt":"2021-07-13T11:13:35","slug":"breast-biopsy","status":"publish","type":"page","link":"https:\/\/ikalogiannidis.gr\/en\/breast-biopsy\/","title":{"rendered":"Breast biopsy"},"content":{"rendered":"\t\t
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Introduction<\/strong><\/p>

Mammography and ultrasonography are the common examinations for the investigation of breast pathology. In addition, mammography is a successful worldwide screening test concerning the investigation and the early diagnosis and of breast neoplastic diseases. However, in many cases because of differential diagnosis, breast biopsy is needed to resolve the diagnostic dilemma. The common way to perform breast biopsy is by:
\u2022 Fine Needle Aspiration (FNA)
\u2022 Core Biopsy
\u2022 Open Biopsy
The FNA is actually a cytological examination of the suspicious cystic or solid masses of the breast. FNA is commonly used for the aspiration of the breast cystic tumor. On the other hand, core biopsy or open biopsy is used for the histological documentation of breast pathology, however more often for the solid suspicious masses.
The open biopsy offers the advantage of the complete extraction of the tumor, however under anesthesia, especially for patients with deep breast tumor. In case of more superficial masses, local anesthesia could be used as well. Furthermore, in case of gross breast with deep and small tumors, guide wire (KOPANS) might be necessary for the precise and complete excision of the breast neoplasia (Figure 1).<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Figure 1. Open biopsy of the breast, with preoperative insertion of guide wire (KOPANS) <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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Indications<\/strong><\/p>

The most common indications for breast biopsy are:
\u2022 Ductal papilloma
\u2022 Phyilloides breast tumor (cystosarcoma)
\u2022 Tumors with:
Lobular margins
Radial borders
Mixed (solid-cystic) ultrasound vision
Acoustic shadow
Transversal orientation of the tumor in relation to the breast\u2019s skin
\u2022 Suspicious calcifications
\u2022 Suspicious masses (BIRADS 4 & 5)
BIRADS is a classification system of the characteristics of breast tumors. The system is commonly used in mammography, ultrasound and MRI of the breast, offering a common terminology between the medical staff that follows the breast pathology.<\/p>

Complications<\/strong><\/p>

The most common complications after breast\u2019s biopsy and especially after open biopsy with tumor extraction are:
\u2022 Hematoma
\u2022 Wound infection
Postoperative soft pressure of the surgical wound with bandage for 24 hours and the perioperative use of antibiotic prophylaxis may eliminate the former complications.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\n \"Kalogiannidis\n \n \n \n <\/div>\n
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IOANNIS \u0391. KALOGIANNIDIS MD, PhD<\/h2> <\/div>\n
\n
\n\nAssociate Professor<\/strong>
\nObstetrics Gynecology –
\nGynecologic Oncology\n\n<\/div>\n<\/div><\/div>
\n \n Resume<\/span>\n <\/a>\n <\/div>\n <\/div>\n <\/div>\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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SEE ALSO<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n
\n\n \n
\n\n \"gynecologist-testpap\"\n <\/div>\n \n
\n
\n

\n\n Test PAP\n \n <\/h3>\n
\n PAP smear or test PAP is the collection of cell population from the cervix and the endocervical canal to identify cervical pathology, actually premalignant and malignant diseases. <\/div>\n <\/div>\n\n
\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n
\n\n \n
\n\n \"papilloma-virus-hpv\"\n <\/div>\n \n
\n
\n

\n\n HPV-DNA testing\n \n <\/h3>\n
\n Human Papilloma Virus (HPV) is related to cervical cancer in 99% of cases. Most often high risk subtypes concerning the malignant diseases of the female genital tract are the types 16 and 18. <\/div>\n <\/div>\n\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\n \n
\n\n \"\"\n <\/div>\n \n
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\n\n Colposcopy\n \n <\/h3>\n
\n Colposcopy is the method for the further diagnostic approach of patients with cervical pathology, which was diagnosed using PAP smear or HPV-DNA testing. <\/div>\n <\/div>\n\n
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\n \n Read More <\/a>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\n <\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Introduction Mammography and ultrasonography are the common examinations for the investigation of breast pathology. In addition, mammography is a successful worldwide screening test concerning the investigation and the early diagnosis and of breast neoplastic diseases. However, in many cases because of differential diagnosis, breast biopsy is needed to resolve the diagnostic dilemma. The common way […]<\/p>\n","protected":false},"author":1,"featured_media":2497,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1952","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nBreast biopsy - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ikalogiannidis.gr\/en\/breast-biopsy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Breast biopsy - \u039a\u03b1\u03bb\u03bf\u03b3\u03b9\u03b1\u03bd\u03bd\u03af\u03b4\u03b7\u03c2 \u0399\u03c9\u03ac\u03bd\u03bd\u03b7\u03c2 \u0399\u03b1\u03c4\u03c1\u03cc\u03c2 \u0393\u03c5\u03bd\u03b1\u03b9\u03ba\u03bf\u03bb\u03cc\u03b3\u03bf\u03c2 \u0398\u03b5\u03c3\u03c3\u03b1\u03bb\u03bf\u03bd\u03af\u03ba\u03b7\" \/>\n<meta property=\"og:description\" content=\"Introduction Mammography and ultrasonography are the common examinations for the investigation of breast pathology. 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In addition, mammography is a successful worldwide screening test concerning the investigation and the early diagnosis and of breast neoplastic diseases. However, in many cases because of differential diagnosis, breast biopsy is needed to resolve the diagnostic dilemma. 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