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What Percentage of Breast Biopsies Are Cancer? Facts and Statistics
 
                            Being recommended to get a breast biopsy can be a nerve-wracking experience for many women. The majority of women hear that getting a biopsy means they have cancer, but how often do you know that breast biopsies actually confirm the presence of breast cancer in suspected patients? About 75–80% are found to be benign, or non-cancerous. It simply means that 80% of females who have undergone breast biopsy don’t have breast cancer!
In this blog, we’ll break down the statistics connected to the breast biopsies and how these biopsies are involved in the breast cancer diagnosis.
What is breast biopsy?
A breast biopsy is a standard medical procedure where the healthcare practitioner removes a small sample of breast tissue. It is then examined under a microscope to check the presence of any abnormal or cancerous cells.
A breast biopsy often recommended when:
- A suspicious breast lump or mass
- A mammogram, ultrasound, or MRI shows an area of concern in the results
- Experiencing the changes in nipple or breast skin
- An unusual nipple discharge
- Blood discharge from the nipple
What percentage of breast biopsies are cancer?
Many studies suggest that only 20% of breast biopsies, which is 1 out of 5 biopsies confirm cancer. These facts suggest that 80% of these biopsies show benign (non- cancerous) results.
Note: According to the American Cancer Society and multiple clinical studies, the overall rate of breast cancer diagnosis in these biopsies ranges from 15% to 25%, depending on the type of biopsy and the reason it was ordered in suspected patients.
Types of breast biopsies and its cancer detection rates
To recognize the cancer, healthcare providers use different types of biopsies, which involve different procedures. A healthcare provider will suggest the best biopsies for you, which are used to identify the changes in your breast; these may include:
There are several types of breast biopsies, including:
- Fine Needle Aspiration (FNA): A radiologist performs this procedure, using the syringe with a thin needle to remove fluid and tissue from the breast.
- Core Needle Biopsy: Radiologists also perform core needle biopsies.These biopsy types often use a slightly larger needle than a FNA biopsy. The larger needles can collect more breast tissue than the amount of tissue that an FNA does.
- Stereotactic or Image Guided Biopsy: These biopsies are often performed to a suspicious area which is often seen in imaging tests, while the cancer detection depends on the imaging findings.
- Surgical biopsy : These procedures help to remove the entire lump or abnormal area. These procedures are usually performed when the biopsy results are inconclusive. With a higher rate of cancer diagnosis, these are highly used for highly suspicious findings.
BI-RADS Score and Breast cancer risks
Radiologists often use a system called BI-RADs (Breast Imaging Reporting and Data System) to classify the mammogram findings in the suspected patients. These scores help to predict how likely an abnormal development can turn into cancer.
| BI-RADS Category | Result interpretation | Cancer risk | 
|---|---|---|
| 1 | Negative | 0% | 
| 2 | Benign | 0% | 
| 3 | Probably benign | <2% | 
| 4A | Low suspicion | 2-10% | 
| 4B | Moderate suspicion | 10-50% | 
| 4C | High suspicion | 50-95% | 
| 5 | Highly suggestive of malignancy | 95% | 
| 6 | Cancer proven | 100% | 
If these are not cancer, then what could it be?
Here’s the majority of non-cancerous benign biopsy results fall under the categories, including:
- Fibroadenomas: These are common types and they are solid and non-cancerous tumors made out of fibrous and glandular breast tissues.
- Cysts: Cysts are generally fluid-filled sacs developed in breast tissues that can range from very small to several inches in size.
- Fibrocystic changes: These are very common, non-cancerous types of lumps and swellings or thickening of the breast tissues. These changes are often associated with the hormonal changes during the menstrual cycles.
- Fat necrosis: This is a type of benign condition which occurs when an area of fatty breast tissue is damaged. These can happen due to any kind of injury, surgery or radiation therapy to the breasts.
- Intraductal papillomas: These are small, kind of wart-like growths that grow inside the milk ducts of the patients.
These health conditions are generally not considered dangerous, but they might require health screenings and regular monitoring or minor treatment as well.
What happens after a breast biopsy?
Here’s what happens after the breast biopsy, including:
- Benign result: If you are getting a result like this, then no further treatment is needed, but consult your doctor, they might recommend getting routine follow-ups and imaging tests.
- Atypical or precancerous cells: If you receive a result like this, then you may need to get a closer monitoring or surgery to remove this particular area.
- Cancer diagnosis: In this result, your medical team suggests a personalised treatment plan, which often include a surgery, radiation therapy, chemotherapy or hormonal therapy, mainly depending on the stage and type of the cancer.
Consult Today
Remember that the majority of these breast biopsies do not result in a breast cancer diagnosis. While 4 out of 5 represent benign, performing a breast biopsy gives a chance to ensure and gives the chance of early detection of breast cancer and get an effective cancer treatment on time. If you have been recommended to get a breast biopsy, then stay informed and ask questions to your doctor and follow their guidelines.
At Oncare, we offer premium-quality cancer treatments, including advanced cancer surgeries at an affordable price range with an experienced cancer specialist consultation.
If you or any loved ones of yours are diagnosed with cancer, then visit Oncare Cancer Center and book an appointment with our experienced cancer specialist today! Get an estimated cost of your cancer treatments today!
Here’s what you might feel after the procedure, including:
- A slight pinch from an injection needle or IV you might receive from an anesthesia
- Experience a kind of pressure if you have undergone a fine needle aspiration biopsy or core needle biopsy.
Breast biopsy complications are quite rare. Here are some of the complications, including:
- Bleeding that leads to a condition called breast hematoma
- Experiencing infection
- Collapsed lung
- Hemothorax
- Hemopneumothorax
Here are some of the common risks and side effects of breast biopsy, including:
- Bruising
- Bleeding
- Swelling
- Pain or soreness
- Wound infection
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