DEAR DR. GOTT: I’m 56 and missed my last mammogram so now my doctor wants me to get extra tests and hinted at having a possible biopsy. He says it doesn’t hurt but I fear that the site will open up any bleeding inside, causing the potential cancer to spread into my bloodstream and the rest of my body. Can you give me any advice?
DEAR READER: I’m unclear of your situation. Was your last mammogram a routine screening or are you being monitored because of a breast lesion?
In the case of a routine screening, further testing and biopsy are not standard, even if the appointment was missed, unless an area of concern appears. If you have a known lesion that is being monitored, further testing — to include an ultrasound and biopsy – are common in cases where the lesion appears to be changing. If the spot remains the same on repeat mammograms, these likely won’t be done.
The risk of biopsy or surgery causing cancer to spread is remote. Doctors who are experienced in taking biopsies know how to avoid the dangers. Biopsies are not generally painful because the procedure is done with a local anesthetic, although mild to moderate discomfort may be felt, especially afterward as the numbing agent wears off.
I urge you to find out why your doctor thinks you need to have extra testing. If he has solid reasoning, such as changes noticed on your mammogram, then you should undergo the procedures. If he says it’s simply because you missed your appointment and nothing else is wrong, decline. Even if you were to have breast changes, you can refuse to undergo any medical procedure, as long as you understand the potential risks involved.
Readers who are interested in learning more can order my Health Report “An Informed Approach to Surgery” by sending a self-addressed, stamped number 10 envelope and a $2 US check or money order to Dr. Peter Gott, PO Box 433, Lakeville, CT 06039. Be sure to mention the title or print an order form from my website, www.AskDrGottMD.com.