“I am 22 years old. since I was 16 years old I had fibroadenoma removed three timesbut on both my breasts there are many more . Many surgery i went. Some part “let’s take”,some part “let it go” says. Me and my family are very worried. Who knows best?”
“I’ve had regular mammograms for six years. Finally, my surgeon found a suspicious finding on my breast and must do a biopsy told. I was so scared that I couldn’t sleep for two nights. I was also very upset with my family and friends. Finally I went to another doctor to get a second opinion and he told me No need for biopsy told. It is incomprehensible that there is such a big difference between what doctors say. I don’t trust any of them anymore! I’m not getting a biopsy or a mammogram again!”
The biopsy decision is a tiring event that affects the whole family due to its possible consequences! Big differences in what doctors say Contrary to what you think, it is extremely natural! You are free to choose not to trust doctors because of their conflicting recommendations. But with this decision who you are punishingI suggest you think carefully!
Scans have side effects and one of them is UNNECESSARY BIOPIES! Various abnormal formations (lesions) are found in almost every woman who is screened, but very few of them are cancer. To be more concrete, know this: We find cancer in an average of 6 out of every 1,000 women screened. To protect you from the side effects of screening, your radiologist will tell you about the nature of the lesions they find. by informing directly,the findings written in the report by both you and your other doctors. to be understood correctlyby providing with you communicate in a healthy manner befitting a physician. liable! Otherwise, you run the risk of being harmed by unnecessary biopsy!
Regardless of his specialty, the physician should be able to use all his knowledge and skills. his patient obliged to serve! Who pays for the misdirections? Isn’t he sick?
Only 1 in 10 women who have had a surgical breast biopsy have cancer. This means that 90% of the patients are unnecessarily biopsied. radiological follow-upand radiological biopsyignoring protective options such as surgical biopsy It is presented to patients as a “diagnostic method without alternatives”! There are purely “emotional” reasons behind this. Breast biopsy is not only really necessary in very few patients, but there is no need for surgeons or surgical procedures, even if necessary. to the surgeon “diagnosis”only if your radiologist’s biopsy shows cancer “for treatment”go!
1970’s Until the end of the year, diagnosis and treatment was done in a single surgical session in the USA. Before the surgery, the patient “Any kind of treatment that will be given to him that you accept in advance” signature was obtained. The surgeon takes a sample from the mass during the operation frozen section If the result was cancer, she would take the breast. This method is still in force in our country and for women who have lost their breasts from the surgery they have undergone, hoping that it will consist of a biopsy – even if they initially agreed to it– it is a serious trauma.
A journalist named Rose Kushner, 1974He expressed his feelings about this treatment approach in the following year: “Everything was out of my control. In this process where I could not ask questions, think, discuss and prepare myself, I was like an outsider rather than the owner of my body. It was offensive that the decisions that concerned me were made by others when I was not myself. I realized that I was seen as an ‘object’””.
Rose Kushner devoted the rest of her life to changing the tradition of diagnosis and treatment in one session and to raise awareness of women for this. in 1979The decision of the American National Cancer Institute was her triumph and the first step in an era for the benefit of women: “Surgical interventions for diagnostic and therapeutic purposes will be performed in separate sessions”.
With this development, women were not only protected from the psychology of unexpected organ loss, but also to evaluate treatment options after the diagnosis is finalized, to consult other doctors if they wish, in short. “own making decisions about their bodies” they got their freedom. The achievements of this movement women’s rightsnot only initiated the awakening of with individual rightsdeeply affected his consciousness.
Prof Melvin J Silverstein is one of the USA’s respected breast surgeons. He works at the University of Southern California. The following interview with him was published in the journal “Health Facts For Informed Decision Making” in February 2009.
Question: You say that women need to take active action so that doctors’ practices change for the benefit of women.
Response: Yes. For their own benefit, American women (starting with Rose Kushner) need to start an activist initiative like they did in the 1970s without further delay.
Question: How can women tell if a surgical method is necessary for a breast biopsy?
Response: What women need to know is that more than 90% of breast biopsies can be performed using a needle using a radiological method. This method is as reliable as surgical biopsy in experienced hands. Surgical biopsy is very rarely required. Therefore, women should be skeptical of the surgical biopsy offer offered to them.
Question: You say that women were taken to the operating room by the shortest route, based on the masses found by hand or by mammography. How is the typical scenario?
Response: If the patient’s first doctor is a radiologist, if he can enlighten the patient and if he can perform a radiological biopsy, he will do the biopsy. However, in the USA, the first doctor women consult for their breasts is usually not a radiologist. In the eyes of radiologists and other doctors who refer patients to them, patients “belong” to the doctor who sends them to the radiologist. Most radiologists do not do any examination without a “request document” written by another doctor because they do not see themselves as the “patient’s doctor”. When he finds an abnormality in the breast, he informs the person he sees as the “patient’s doctor” and leaves the decision to him. The doctor who sends the patient to the radiologist usually wants to operate on the patient because he is a surgeon and wants to do the biopsy himself instead of another doctor (radiologist), but because the only biopsy method he knows is surgical biopsy.
Question: Does surgical biopsy have harmful effects other than cost?
Response: I am a surgeon. I see the breasts of patients diagnosed with cancer by surgical biopsy. In some of these, the breast is cut incorrectly. This adversely affects the treatment. In addition, the surgical margins are often not “clean”, that is, the cancer cannot be completely removed. Then treatment becomes more difficult. The only reason for these negativities is that surgery was used “for diagnosis” (as a biopsy method). However, we do not encounter anything that negatively affects the treatment of the breast in needle biopsies. Breast surgery should be reserved for treatment only, not used for biopsy!
Question: Your views are spreading rapidly among women on the Internet. What do you call this?
Response: Remember 10-15 years ago. Those were the years when the “Guardian lymph node biopsy” method was new. Thanks to this method, where metastasis is investigated by removing almost all of the lymph nodes under the armpit, for example, instead of removing 20 of them, women quickly realized that they can be protected from unnecessary injuries. At the time, surgeons who couldn’t do this job said, “It’s not clear whether it works or not.” So what happened next? Women sought and found surgeons who could “do” the job. So other surgeons had to learn this method in order not to lose more patients. Who did this benefit? Of course women!
Frozen-section is a “rapid and rough idea” pathological evaluation method performed during surgery.