You may receive local anesthetics to numb the area of the biopsy. Some surgical biopsy procedures require general anesthetics to put you in a sleep-like state. You might need to stay in the hospital after the procedure.
In some cases, you'll receive an IV sedative or other medication to relax you during the procedure. Sometimes general anesthesia is used during a needle biopsy. If this is the case, you'll receive medications through a vein in your arm that will relax you and put you in a sleep-like state.
Biopsies may be done under local or general anesthesia. For local anesthesia, medicine is injected to numb your breast. You will be awake, but feel no pain. For general anesthesia, you will be given medicine to put you into a deep sleep during the biopsy.
While a biopsy may sound scary, it's important to remember that most are entirely pain-free and low-risk procedures. Depending on your situation, a piece of skin, tissue, organ, or suspected tumor will be surgically removed and sent to a lab for testing.
These procedures are usually fairly quick and might take 15 to 30 minutes to perform, depending on the part of the body being biopsied. Typically, the biopsy sample is then saved in a special type of preservative and sent to the pathology lab for processing.
Rest as much as you can in the next day or two. Limit using the body part, if this is possible. For example, if you had a biopsy performed on your arm or leg, try to rest and raise the limb for the next day or so. Avoid vigorous exercise and lifting heavy objects.
Recovery. Most biopsies will only require local anaesthetic, which means you won't need to stay in hospital overnight. However, an overnight stay is sometimes required when the biopsy is carried out under general anaesthetic.
An office-based procedure is a minor surgery, such as a biopsy, that is done an office setting on an outpatient basis, usually with some level of anesthesia.
During an excisional biopsy, the doctor removes an entire lump or an entire area of abnormal skin, including a portion of normal skin. Stitches are generally used to close the biopsy site after this procedure.
You may feel a slight burning or stinging when the solution comes into contact with your cervix. If you need a biopsy, you may feel a sharp pinch or a sensation like a period cramp when the tissue sample is excised. Taking over-the-counter pain relievers before the exam can help with the pain.
A needle biopsy is less invasive than open and closed surgical biopsies, both of which involve a larger incision in the skin and local or general anesthesia. Generally, the procedure is not painful. Results are as accurate as when a tissue sample is removed surgically.
After your biopsy
You might be able to go back to normal activities as soon as the test is over. Or you may need to rest at home for some time or stay in the hospital to begin your recovery. If your anesthesia includes a sedative, you need someone to drive you home afterwards.
In most cases, biopsies are outpatient procedures, so you won't need to stay in hospital overnight.
Patients may experience some pain or tenderness for a few days after the procedure. In most cases, the pain is minimal and most patients are able to resume normal activities a day or two after a biopsy.
Some biopsies can be done in a healthcare provider's office, while others need to be done in a hospital setting. In addition, some biopsies can be done with a local anesthetic to numb just the local area involved. Others may need sedation or even full anesthesia that puts you completely asleep during the procedure.
An image-guided biopsy is required when an abnormality is detected on a mammogram and/or ultrasound scan. However, 90% of the biopsies are negative (Health Promotion Board, 2012), i.e. no cancer is found. These procedures are done under local anesthesia and as a day-surgery procedure in an outpatient setting.
The most common types include: (1) incisional biopsy, in which only a sample of tissue is removed; (2) excisional biopsy, in which an entire lump or suspicious area is removed; and (3) needle biopsy, in which a sample of tissue or fluid is removed with a needle.
The biopsy site may feel sore for several days. You may have a bruise on the site. It can help to walk, take pain medicine, and put ice packs on the site. You will probably be able to return to work and your usual activities the day after the procedure.
Sometimes your provider or a pathologist will be able to make a diagnosis and tell you immediately after taking your cell or tissue sample. If your biopsy was taken while you were having surgery, results might be available immediately when you wake up.
Keep a bandage on the biopsy site for a day. Do not drive or run machinery for at least 24 hours. Do not do any strenuous exercise or lifting for at least two days.
You may have some discomfort or pain from the incision. If you had a general anesthetic, you may feel sick to your stomach. If you have pain, discomfort or nausea, tell your nurse. He or she can give you medications that will help.
Do not take aspirin or aspirin products 7 days before the biopsy. Do not take blood thinning products 7 days before the biopsy. Do not take anti-inflammatory products 7 days before the biopsy. Do not take Vitamin E products 7 days before the biopsy.