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Out-patient breast biopsies

Annals of Surgery

|May 1, 1977

Summary

This summary is machine-generated.

Performing breast biopsies under local anesthesia offers a less traumatic experience for patients compared to general anesthesia. This method allows for precise diagnosis, enabling better treatment planning and reducing psychological distress.

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Area of Science:

Oncology
Surgical Pathology
Anesthesiology

Background:

Traditional breast biopsy procedures often involved general anesthesia, leading to patient anxiety regarding diagnosis and extent of surgery.
The combination of biopsy, frozen section, and mastectomy under general anesthesia is increasingly being replaced by less invasive methods.

Purpose of the Study:

To evaluate the safety and efficacy of performing breast biopsies under local anesthesia.
To assess the impact of local anesthesia on patient psychological well-being and treatment planning.
To compare the cost-effectiveness of breast biopsies performed under local versus general anesthesia.

Main Methods:

A consecutive series of 153 breast biopsies were performed under local anesthesia.
Histopathological diagnoses were obtained for all patients.

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Complications and patient outcomes were monitored.

Main Results:

Out of 153 biopsies, 19 revealed carcinoma, 23 showed non-obligate precursors, 5 had lymphoma, and the rest had benign conditions.
No significant complications were reported during or after the procedures.
Local anesthesia biopsies facilitated precise histologic diagnosis, aiding in subsequent therapy planning.

Conclusions:

Breast biopsies under local anesthesia are a safe and effective alternative to general anesthesia, minimizing patient psychological trauma.
This approach allows for accurate diagnosis, enabling tailored treatment strategies.
Local anesthesia for breast biopsies offers significant cost savings compared to procedures under general anesthesia.