A “positive” or “involved” margin means there are cancer cells in the margin. This means that it is likely that cancerous cells are still in the body. Lymph nodes. The pathologist will also note whether the cancer has spread to nearby lymph nodes or other organs.
Doctors have two ways to stage cancer: Clinical Staging This type of staging is done based on the results of diagnostic exams, like a biopsy and imaging test.
Generally, after a patient receives positive melanoma results, his or her doctors will need to proceed with staging the malignancy— which essentially means determining the extent of the cancer—and developing a treatment plan based on how far the cancer has progressed.
Sometimes, a biopsy reveals that the suspicious area contains only benign, or non-cancerous, cells. This might mean you do not need treatment, such as surgery, radiation therapy, or chemotherapy. Other times, a biopsy can tell the doctor how aggressive a cancer appears to be and what the extent of the disease may be.
If your pathologist suspects certain types of cancer, such as lymphoma, he or she might need to perform additional testing to determine the subtype. This process takes an additional 24 to 96 hours, depending on the complexity of the cancer. It can be agonizing to wait for biopsy results.
If you're deemed to be of sound mind, and you ask the question, then yes, they are legally obligated to disclose your medical data to you.
The doctor also may order lab tests, imaging tests (scans), or other tests or procedures. You may also need a biopsy, which is often the only way to tell for sure if you have cancer. This page covers tests that are often used to help diagnose cancer. Depending on the symptoms you have, you may have other tests, too.
Surgery does not cause cancer to spread. Sometimes, during surgery, the surgeon determines that the cancer is more advanced than doctors originally thought. The cancer was already there, but original tests did not show its extent. There is an extremely low chance that a biopsy will cause cancer to spread.
A long-held belief by a number of patients and even some physicians has been that a biopsy can cause some cancer cells to spread. While there have been a few case reports that suggest this can happen — but very rarely — there is no need for patients to be concerned about biopsies, says Dr. Wallace.
Suspicious mammographic findings may require a biopsy for diagnosis. More than 1 million women have breast biopsies each year in the United States. About 20 percent of these biopsies yield a diagnosis of breast cancer. Open surgical biopsy removes suspicious tissue through a surgical incision.
Although tests aren't 100% accurate all the time, receiving a wrong answer from a cancer biopsy – called a false positive or a false negative – can be especially distressing. While data are limited, an incorrect biopsy result generally is thought to occur in 1 to 2% of surgical pathology cases.
Results are often available within a few days. But this is difficult to predict, because further tests may be needed after the first examination of the sample. It's sometimes necessary to send the microscope slides away to get another specialist opinion.
If a normal or negative test result comes back, the physician can telephone the patient with the “good news,” and patients have the option of canceling the follow-up appointment. Although it is preferable to give bad news face-to-face, there may be times when giving bad news over the phone is unavoidable.
In situ means "in place." Stage 0 cancers are still located in the place they started. They have not spread to nearby tissues. This stage of cancer is often curable. Surgery can usually remove the entire tumor.
If the biopsy removes the entire tumor, it's often enough to cure basal and squamous cell skin cancers without further treatment. There are different types of skin biopsies. The doctor will choose one based on the suspected type of skin cancer, where it is on your body, its size, and other factors.
Fine-needle, core-needle, and surgical biopsies are the three types of biopsies. Thankfully, when looking into what percentage of breast biopsies are cancer? The answer is low—only 20%.
The time it takes to get your results back also depends on if the laboratory is on-site or if the sample needs to be sent out for analysis. For most biopsy procedures, results are generally available within a few days to one week to 10 days.
Cancer can also start in the lymph nodes. These are called lymphomas. "In general, cancers that have spread to the lymph nodes are typically stage 2 or 3," says Juan Santamaria, MD, Nebraska Medicine surgical oncologist. "Many of these cancers are still treatable and even curable at this stage.
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.
Most patients referred under the Two-Week Wait appointment system do not have cancer but may have another condition requiring hospital diagnosis and treatment.