Breast biopsy - Revision history

Chris.Rishel at 06:25, 5 April 2022

2022-04-05T06:25:41Z

← Older revision		Revision as of 23:25, 4 April 2022
Line 1:		Line 1:
	{{Infobox surgical case reference		{{Infobox surgical case reference
	\| anesthesia_type = ~~Depends on size of lesion, depth of lesion, and amount of tissue to be sampled. Includes local, local with IV sedation, or GA.~~		\| anesthesia_type = Local
	\| airway = ~~Natural airway,~~ LMA or ETT		MAC
	\| lines_access = PIV ~~18-20G x 1 if sedation is to be used~~		General
	\| monitors = Standard ~~monitors~~		\| airway = Noninvasive O2
	\| considerations_preoperative = ~~Patients with previous history of breast cancer~~ may have ~~had prior lymph node involvement and one arm may be unavailable for lines~~		LMA
			ETT
			\| lines_access = PIV
			\| monitors = Standard
			\| considerations_preoperative = If prior surgery, may have limb alert
	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected		\| considerations_postoperative = PONV
			Urine, emesis or stool may be blue for 24-48h if dye is injected
	}}A '''breast biopsy''' is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy.<ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=5th\|location=Philadelphia\|oclc=888551588\|last=\|first=\|publisher=\|year=\|pages=}}</ref>		}}A '''breast biopsy''' is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy.<ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=5th\|location=Philadelphia\|oclc=888551588\|last=\|first=\|publisher=\|year=\|pages=}}</ref>

Chris.Rishel: Text replacement - "|Respiratory" to "|Pulmonary"

2022-02-22T05:42:58Z

Text replacement - "|Respiratory" to "|Pulmonary"

← Older revision		Revision as of 22:42, 21 February 2022
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	\|		\|
	\|-		\|-
	\|~~Respiratory~~		\|Pulmonary
	\|		\|
	\|-		\|-

Chris.Rishel: Fix reference

2021-07-09T09:52:10Z

Fix reference

← Older revision		Revision as of 02:52, 9 July 2021
Line 7:		Line 7:
	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected		\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected
	}}A '''breast biopsy''' is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=~~Fifth edition~~\|location=Philadelphia\|oclc=888551588}}</ref>		}}A '''breast biopsy''' is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy.<ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=5th\|location=Philadelphia\|oclc=888551588\|last=\|first=\|publisher=\|year=\|pages=}}</ref>

	== Preoperative management ==		== Preoperative management ==

Chris.Rishel: Added categories, formatting

2021-07-09T09:37:25Z

Added categories, formatting

← Older revision		Revision as of 02:37, 9 July 2021
Line 7:		Line 7:
	\| considerations_intraoperative =		\| considerations_intraoperative =
	\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected		\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected
	}}		}}A '''breast biopsy''' is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=Fifth edition\|location=Philadelphia\|oclc=888551588}}</ref>
	A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=Fifth edition\|location=Philadelphia\|oclc=888551588}}</ref>

	== Preoperative management ==		== Preoperative management ==
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	[[Category:Surgical procedures]]		[[Category:Surgical procedures]]
			<references />
			[[Category:General surgery]]
			[[Category:Breast surgery]]

Chris.Rishel at 17:53, 12 May 2021

2021-05-12T17:53:47Z

← Older revision		Revision as of 10:53, 12 May 2021
Line 8:		Line 8:
	\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected		\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected
	}}		}}

	A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=Fifth edition\|location=Philadelphia\|oclc=888551588}}</ref>		A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=Fifth edition\|location=Philadelphia\|oclc=888551588}}</ref>

Oliviamsutton: Filled body of article, skeletonized procedure variant table

2021-05-01T00:54:06Z

Filled body of article, skeletonized procedure variant table

← Older revision		Revision as of 17:54, 30 April 2021
Line 9:		Line 9:
	}}		}}

	A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with ~~sentinal~~ lymph node biopsy.		A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinel lymph node biopsy. <ref>{{Cite book\|url=https://www.worldcat.org/oclc/888551588\|title=Anesthesiologist's manual of surgical procedures\|date=2014\|others=Richard A. Jaffe, Clifford A. Schmiesing, Brenda Golianu\|isbn=978-1-4963-0594-7\|edition=Fifth edition\|location=Philadelphia\|oclc=888551588}}</ref>

	== Preoperative management ==		== Preoperative management ==
Line 46:		Line 46:
	=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===		=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===

	=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===		* Only as indicated from H&P

	=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===

	~~=== Regional and neuraxial techniques<!~~-~~- Describe any potential regional and/or neuraxial techniques which may be used~~ for ~~this case. If none, this section may be removed. --> ===~~		* Can be a high-anxiety procedure, consider midazolam
			* Consider scopolamine patch in young women at high risk for PONV

	== Intraoperative management ==		== Intraoperative management ==

	=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===		=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===

			* Standard ASA monitors
			* 18-20G PIV x 1

	=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

			* Natural airway for procedures that can be done under local +/- sedation including FNA, core needle biospy
			* LMA vs. ETT for deeper lesions, resections, and sentinel node biopsies

	=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===

			* Supine with ipsilateral arm abducted
			* Table may be airplaned to center breast

	=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

			* Standard maintenance, muscle relaxants often not required

	=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

			* No special considerations

	== Postoperative management ==		== Postoperative management ==

	=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===		=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===

			* PACU > home

	=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===		=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===

			* Pain score 2-5
			* PO analgesics

	=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===		=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===

			* Hematoma formation
			* Infection
			* Seeding of tumor to other sites

	== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==		== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==
Line 77:		Line 100:
	\|+		\|+
	!		!
	!~~Variant 1~~		!FNA/Core Needle Biopsy
	!~~Variant 2~~		!Open Breast Biopsy
			!Lumpectomy/Excisional Biospy
	\|-		\|-
	\|Unique considerations		\|Unique considerations
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|Position		\|Position
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|Surgical time		\|Surgical time
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|EBL		\|EBL
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|Postoperative disposition		\|Postoperative disposition
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|Pain management		\|Pain management
			\|
	\|		\|
	\|		\|
	\|-		\|-
	\|Potential complications		\|Potential complications
			\|
	\|		\|
	\|		\|

Oliviamsutton: Started article with intro and summary box

2021-04-30T23:36:18Z

Started article with intro and summary box

← Older revision	Revision as of 16:36, 30 April 2021
Line 1:	Line 1:
		{{Infobox surgical case reference
		\| anesthesia_type = Depends on size of lesion, depth of lesion, and amount of tissue to be sampled. Includes local, local with IV sedation, or GA.
		\| airway = Natural airway, LMA or ETT
		\| lines_access = PIV 18-20G x 1 if sedation is to be used
		\| monitors = Standard monitors
		\| considerations_preoperative = Patients with previous history of breast cancer may have had prior lymph node involvement and one arm may be unavailable for lines
		\| considerations_intraoperative =
		\| considerations_postoperative = Urine, emesis or stool may be blue for 24-48h if dye is injected
		}}

		A breast biopsy is the surgical removal of breast tissue for histopathological analysis, usually in the setting of suspicious findings discovered on mammography or ultrasonography. This procedure can take many forms, including fine-needle aspiration cytology (FNA), core needle biopsy, open breast biopsy, excisional biopsy, and lumpectomy, and may be associated with sentinal lymph node biopsy.

		== Preoperative management ==

		=== Patient evaluation<!-- Describe the unique and important aspects of preoperative evaluation. Add or remove rows from the systems table as needed. --> ===
		{\| class="wikitable"
		\|+
		!System
		!Considerations
		\|-
		\|Neurologic
		\|
		\|-
		\|Cardiovascular
		\|
		\|-
		\|Respiratory
		\|
		\|-
		\|Gastrointestinal
		\|
		\|-
		\|Hematologic
		\|
		\|-
		\|Renal
		\|
		\|-
		\|Endocrine
		\|
		\|-
		\|Other
		\|
		\|}

		=== Labs and studies<!-- Describe any important labs or studies. Include reasoning to justify the study and/or interpretation of results in the context of this procedure. If none, this section may be removed. --> ===

		=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===

		=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===

		=== Regional and neuraxial techniques<!-- Describe any potential regional and/or neuraxial techniques which may be used for this case. If none, this section may be removed. --> ===

		== Intraoperative management ==

		=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===

		=== Induction and airway management<!-- Describe the important considerations and general approach to the induction of anesthesia and how the airway is typically managed for this case. --> ===

		=== Positioning<!-- Describe any unique positioning considerations, including potential intraoperative position changes. If none, this section may be removed. --> ===

		=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===

		=== Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. --> ===

		== Postoperative management ==

		=== Disposition<!-- List and/or describe the postoperative disposition and any special considerations for transport of patients for this case. --> ===

		=== Pain management<!-- Describe the expected level of postoperative pain and approaches to pain management for this case. --> ===

		=== Potential complications<!-- List and/or describe any potential postoperative complications for this case. --> ===

		== Procedure variants<!-- This section should only be used for cases with multiple approaches (e.g. Laparoscopic vs. open appendectomy). Otherwise, remove this section. Use this table to very briefly compare and contrast various aspects between approaches. Add or remove rows as needed to maximize relevance. Consider using symbols rather than words when possible (e.g. +, –, additional symbols such as ↑ and ↓ are available using the "Ω" tool in the editor). --> ==

		{\| class="wikitable"
		\|+
		!
		!Variant 1
		!Variant 2
		\|-
		\|Unique considerations
		\|
		\|
		\|-
		\|Position
		\|
		\|
		\|-
		\|Surgical time
		\|
		\|
		\|-
		\|EBL
		\|
		\|
		\|-
		\|Postoperative disposition
		\|
		\|
		\|-
		\|Pain management
		\|
		\|
		\|-
		\|Potential complications
		\|
		\|
		\|}

		== References ==

		[[Category:Surgical procedures]]

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2021-04-16T01:19:29Z

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