Puncture of the breast

In the diagnosis of certain breast diseases, puncture of the mammary gland may be required - a procedure for taking tissue elements for analysis.

Such a method of research can almost accurately distinguish a malignant disease from a benign one.

[1], [2], [3], [4],

Whether the puncture of a mammary gland is dangerous?

Puncture of the breast does not pose a danger to the woman, because simultaneously with the procedure the doctor necessarily controls his actions with the help of ultrasound. It is much more dangerous not to put the diagnosis on time and delay it with treatment.

Of course, in addition to puncture, other examinations are also carried out - mammography, cystography, sonication. However, only a puncture can give the doctor an exhaustive information about the nature of the tumor, therefore, it should not be abandoned. Moreover, there are a number of cases where the procedure is mandatory, and it can not be replaced by anything. This is the appearance of painless seals and nodules in the mammary gland, changes in the appearance of the skin on the breast (color, sores, "lemon crust"), discharge from the milk ducts, which should not be normal in the normal state (blood, pus, etc.).

Often the puncture is used not only as a diagnostic procedure, but also for treatment: thus, for example, pumping out fluid from the cystic cavity.

However, there are cases when the use of puncture is not recommended. Among them:

• the first 4-5 days of the onset of the menstrual cycle;
• period of pregnancy and lactation;
• poor blood clotting, caused by diseases or taking anticoagulant drugs.

If you take pills that dilute blood (aspirin, cardiomagnesium, etc.), be sure to tell the doctor about it.

How do puncture the breast?

What is puncture and how is it performed? This is a small puncture of breast tissue, which is necessary to relieve the suspicion of the development of malignant process.

To obtain a complex effect, puncture is performed after other methods of examination: mammography, ultrasound, which allows to clarify the localization and prevalence of the pathological process.

Puncture can take several methods. Most often, the procedure is carried out as follows: directly into the seal or knot, the doctor introduces a special needle, by means of which a certain amount of content or tissue elements is "taken away". What can be obtained, and will be the material for further research. Such a material undergoes a special coloration, followed by its microscopic study. The use of ultrasound along with puncture allows you to accurately get an idea of where the needle falls. This method is usually performed without anesthesia, since the procedure is usually of little pain.

Breast mammary gland after puncture passes quickly enough, and even it does not form at all. Formation of scars after puncture is completely excluded.

An alternative method of puncture is used in cases where the standard needle does not allow you to take the necessary material due to the deep location of the pathological focus. In this situation, the doctor must use a larger needle or special "gun". This method already requires local anesthesia, but even after this procedure, scarring does not remain.

In other situations, other puncture methods may be used. We describe their main features.

1. Fine needle puncture. This is the procedure used most often. It is used when the nodal seal is located close to the surface of the skin: deeper formations the needle simply does not reach. During the puncture, the woman sits on the couch, the doctor processes the needle insertion site and inserts it into the glandular tissue. The necessary material is sucked off by the syringe, after which the needle is removed, and the site of the injection is treated with a bactericidal agent.
2. Stereotactic puncture. This procedure is done according to the principle of the previous one, but the woman lies on her back, and the doctor does not just one, but several injections into different compaction points. Such puncture is necessarily carried out under the control of an ultrasound or a mammogram.
3. Thick-needle puncture. Using a thick needle gives the doctor the opportunity to take more material for the study, which in the future will establish a more accurate diagnosis.
4. Incisional puncture of breast tumor. This procedure involves excision of the affected tissue under local anesthesia. Injection puncture is used when the doctor doubts the validity of a normal biopsy, or the malignant nature of education is not excluded. The tissues are excised and removed, that is, such a puncture is akin to a small operation. The seized material is also examined in a laboratory under a microscope.
5. Trepan biopsy. This puncture is performed to diagnose the nature of tumors that do not lend themselves to palpation. The procedure is performed using a special device "gun-needle" (biopsy gun) against the background of ultrasound monitoring.
6. Puncture of the cyst of the breast is carried out by means of the aspiration method. The doctor enters the needle into the cyst through the outer and inner tissues of the breast. Next, a syringe is pumped, which is pumped out the contents of the cystic formation. The liquid is removed completely, which contributes to the collapse (gluing) of the cyst walls and to the reduction of the pain syndrome.
7. Puncture of the fibroadenoma of the breast is carried out in order to characterize the nature of the tumor (malignant or benign). During the procedure, the doctor takes a piece of tissue fibroadenoma through a small incision, or with the help of the same needle. The resulting tissue is sent to the laboratory for study.

Diagnostic puncture of the mammary gland

The material extracted during the diagnostic puncture is sent to the laboratory. There, the resulting tissue is stained using a special technology and treated with a microscopic method. This method of diagnosis is now recognized as the most reliable in the differential diagnosis of malignant tumors.

Cells affected by an oncological process have a different structure compared to normal cells.

True, it happens that the results of puncture of the breast did not detect the cancerous nature of the tumor, and subsequently the diagnosis of oncology is confirmed. This can happen in those situations where a puncture is performed without monitoring ultrasound: without controlling the process by 100%, the doctor can mistakenly take tissue from the uninfected section of the gland.

If, after a puncture, the doctor still doubts the etiology of the disease, he can recommend excision and removal of education, in order to then study the material that was obtained during the operation.

[5], [6], [7], [8], [9], [10]

Complications after puncture of the mammary gland

The consequences of a puncture of the breast can be expressed in the following symptoms:

• swelling and swelling of the chest;
• bruises and bruises;
• after removal of the tumor or suction of the contents of the cyst, a change in the shape of the mammary gland is possible.

Such consequences usually take place within a few days. Complications in the form of internal infection of tissues are extremely rare.

Pain after a puncture of the breast can bother some more time. The severity and duration of such pain depends on the amount of seized material: the more tissues were taken for analysis, the more painful the sensations. In such cases, the patient is prescribed painkillers (without acetylsalicylic acid) and applying cold to the chest. Within a few days the pain should subside.

[11], [12], [13], [14]

Where to make a puncture of the breast?

Where to make a puncture of the breast in Kiev?

• The medical center of family health Adonis Family - m. Osokorki, Dneprovskaya embankment 26K, tel. [phone]
• Medical Center "Institute of Clinical Medicine" - m. Shulyavskaya, ul. V. Getman 3, tel. [phone]
• Medical clinic "Innovation" - Vyshgorodsky district, village Lutezh, st. Vitryanogo 69A, tel. [phone]
• Hospital of modern oncological care "LISOD" - Obukhov district, village Plyuty, st. Malyshko 27, tel. [phone]
• City center of oncology, Kiev - st. Verkhovynaya 69, tel. [phone]
• National Cancer Institute - m. Vasilkivs'ka, ul. Lomonosov 33/43, tel. [phone]
• Center of Oncology and Radiosurgery "Cyber Clinic Spizhenko" - Kiev-Svyatoshinsky district, village Kapitanivka, st. Sovetskaya 21, tel. [phone]
• Medical Clinic Olgerd - Vernadsky Boulevard 36, tel. [phone]
• Multidisciplinary clinic "Medical Club" - st. Baggovutovskaya 14, tel. [phone]

Of course, in Kiev you can find many clinics, where you will be consulted regarding the puncture of the breast. The main thing is to find really qualified and experienced specialists who will perform the procedure qualitatively and painlessly.

The price of a puncture of the breast

The average cost of puncture of the breast in Kiev - from 300 to 400 UAH.

In addition, it is necessary to take into account the cost of consulting a mammologist (about 200 UAH), as well as, possibly, an oncologist's consultation (about 280-300 UAH).

Reviews about a puncture of the mammary gland

Reviews about the puncture of the breast are very different. And it can be understood: all patients have different diagnoses, different characteristics of the body, and different doctors conduct the procedure in different ways. What conclusions can be drawn from the many read responses:

• puncture of the breast - the procedure is almost painless, but if you are a person with increased pain sensitivity, drink before the procedure an analgesic pill (without aspirin) or ask the doctor to give you a local anesthetic;
• the degree of hemorrhage after the procedure depends on the physician's competence, or on the particularity of your blood coagulation system. If the blood is curdled badly, or a week before the procedure you were taking aspirin or other anticoagulants, then, most likely, hematomas are provided to you;
• to reduce the risk of bruising and pain, take an ice bag with you and attach it after the procedure (provided there is no inflammation in the mammary gland);
• You can plan your schedule on the day of the procedure, as always. Puncture usually lasts 10-15 minutes (incisional - a little longer, check with a doctor).

Puncture of the breast is a necessary procedure, and if the doctor prescribes such a method of research, then he must have all the grounds for this.