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David W. Page

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Member Since: Dec, 2008

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Blogs by David W. Page

Beware of Open Breast Biopsies
3/2/2015 7:25:55 AM


Minimally Invasive Breast Biopsy according to the 3rd International Consensus Conference is the gold standard for diagnosing breast problems. Despite this conclusion a third of all women having a breast biopsy have an open procedure, an incision or cut on their breast.
Diseases of the breast pronounce themselves in several ways: three possible mammographic findings, including: a mass, a group or cluster of calcium dots (microcalcifications), or distortion of normal tissue. Also, a breast lump may be benign or malignant (cancerous) tissue. ANY suspicious breast finding must be biopsied. Tissue must be examined by a pathologist.

BENEFITS OF MINIMALLY INVASIVE BREAST BIOPSY:
less pain
less scarring
less costly
faster time from diagnosis to treatment
avoid multiple open biopsies
makes treatment planning for breast cancer by a multidisciplinary group of specialists for effective

WHO'S AT RISK OF HAVING A MORE INVASIVE OPEN (INCISION) BREAST BIOPSY?

younger woman
having a biopsy at a small rural hospitals (non-teaching)
Asian women
Hispanic women
those with private insurance

Radiologists do the ultrasound or stereotactic core breast biopsies with a big needle with a tiny incision. Surgeons do the open incision-based operations. Open biopsies pay more than the less invasive procedures.

ASK: to have a less invasive breast biopsy if you need a diagnosis.

Adepoju L. et al. Amer J Surg 2014;208:382-390




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More Blogs by David W. Page
• Will White Supremacy Bury the #MeToo Movement? - Monday, March 1, 2021
• The Way We Talk To Each Other - Tuesday, June 30, 2020
• The Flu Season is Almost Over - Thursday, April 4, 2019
• A New Beginning - Monday, October 29, 2018
• Medical school reform - is now the time to make health care safer? - Thursday, May 11, 2017
• The Laparoscopic Surgery Revolution - finding a capable surgeon in a rapidly advancing field - Monday, March 6, 2017
• The Laparoscopic Surgery Revolution - finding a capable surgeon in a rapidly advancing field - Friday, January 13, 2017
• The Laparoscopic Surgery Revolution - Saturday, October 1, 2016
• Catching up - Friday, July 22, 2016
• new book contract - Tuesday, February 23, 2016
• Retooling the "Fifty Things You Need to Know Before Having an Operation - Thursday, September 10, 2015
• Do motor cycle helmets make a difference in safety? - Monday, June 15, 2015
• Your Personal Care Team - PCT - Monday, June 1, 2015
• Is the doctor's exam worth it? - Monday, May 4, 2015
• Who am I? Your advocate for safe surgery - Friday, April 24, 2015
• Why Might Your Operation be Cancelled? - Monday, April 6, 2015
•  Beware of Open Breast Biopsies - Monday, March 2, 2015  

• Hospital failure events - Monday, February 2, 2015
• End of year thoughts on patient advocacy - Tuesday, December 23, 2014
• SAFE SURGERY - Fifty facts you need to know if you are having an operation - Monday, September 22, 2014
• A new ebook on groin hernias is on its way - Thursday, August 7, 2014
• When Surgeons Blog About Themselves - Monday, May 5, 2014
• The First Fifty Things You Need to Know If You Are Having Surgery - Friday, January 24, 2014
• A New Medical Information Project - Monday, December 30, 2013
• Distracting Trainees in the OR - Wednesday, March 13, 2013
• LessTraining Time, Less Fatigue, No Improvement in Patient Safety - Wednesday, February 27, 2013
• Texting, emails, videos - why your doctor doesn't know who you are? - Monday, January 14, 2013
• Should I Ask For Robotic Surgery? - Tuesday, June 5, 2012
• What's the best hernia repair? - Tuesday, August 23, 2011
• Hospitals in July - beware - Tuesday, June 28, 2011
• I'm back - Monday, June 20, 2011
• Off Shore Medical Schools - Wednesday, March 17, 2010
• Why Jonny Can't Operate - Sunday, February 7, 2010
• A Big Operation is an Opportunity for Smokers - Wednesday, December 16, 2009
• Can You Find a Doctor? - Tuesday, September 15, 2009
• Boasting time - Friday, June 26, 2009
• July's Coming to Your Hospital - Wednesday, June 24, 2009
• Training doctor work hours - Tuesday, May 26, 2009
• What's a SPEDI recovery from surgery? - Monday, May 11, 2009
• NOTES? - Thursday, May 7, 2009
• Your surgeon's abilities - Wednesday, April 22, 2009