WHAT IS TISSUE DIAGNOSIS (BIOPSY) AND WHO SHOULD IT BE DONE?

Biopsy generally means surgery.  It is the removal of diseased tissue for diagnosis and treatment purposes.

1.      Diagnostic part can be taken from a part of the tissue.

2.      Removal of tissue from the diseased area for diagnostic or therapeutic purposes

Open biopsy (may also be wire-marked)

Needle biopsy (fine needle, thick needle, vacuum biopsies)

3.      Removal of the diseased organ for therapeutic purposes while preserving the patient's quality of life and eliminating her cosmetic concerns as much as possible

Although these principles are still valid for breast diseases, biopsy

1.      Open biopsy performed directly on palpable masses (under general anesthesia or local anesthesia in operating room conditions)

2.      Applied in nonpalpable masses, marking with mammography for those seen on mammography, marking with ultrasonography for those seen on mammography. Biopsy performed in operating room conditions after ultrasound-guided wire marking

3.      Fine needle aspiration biopsies

4.      “Tru cut”  biopsy (by applying thick needle and vacuum): It is usually applied before treatment planning for palpable or non-palpable masses that can be seen on ultrasonography (this type of mass is either not palpable because it is deep or because it is less than 1 cm). ;in  they go unnoticed).

5.      In suspicious cases (calcifications) seen only on mammography, "mammatome"; radiology department with the system called; Biopsies performed by council decision

Can be defined as.

Üçlü test (Triple Test) evaluation

“Solid” kitleler için öngörülen bir değerlendirmedir.

1.      General surgeon examination

2.      Radiological examination

3.      Needle biopsy

includes the stages. This evaluation shows that sufficient knowledge of mammography is available, especially in women in their 40s. It requires a joint council of the surgeon-radiologist-pathologist, given that it cannot be given and the biopsy may not be diagnostic. It is usually performed on lesions that are strongly considered to be benign.   

However, no matter what type of biopsy is decided, the piece taken should give a full idea about the whole thing, leaving no room for doubt. Which type of biopsy will be diagnosed is entirely under the responsibility of the general surgeon (surgical oncology specialist), and any internal and surgical specialist  The biopsy decision he will make alone and the attempts he will make by bypassing the general surgery discipline are not legal and ethical.

The issue that should never be forgotten is the appropriate follow-up interval, where clinical follow-up should be done by the general surgeon. This is the general surgeon's appointment. "If a knife is worth it, it will spread" among the people. In our country, where such a misconception is still common, recovery is possible after delays in diagnosis. situations can occur.