Breast biopsy with sedation

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Hello, 

wondering if you can help? I am 43 years old and found a lump gor which I was fast tracked for mammogram. Back in September I went for mamo and was told it was a cyst. However they picked up a focal cluster of micro calcification in the other breast and was told I needed a magnification mamo  and possibly a biopsy. The micro calcification is 3mm and indeterminate. I had a Mano two years prior and it wasn’t on there then so hence the request to biopsy.

There was no info given to me so I looked online of what to expect. 

On 24th sept I went in for magnification Mamo in which they decided to biopsy. I was taken to another room and was quite calm and just wanted to get it over with. 
the local went in the needle went in and I passed out. I have never passed out in my life so was very strange. After 10 mins a biscuit and some water (I had had breakfast so not empty) we agreed to try again. Anyway this time I completely blacked out to the point the crash team were called however I came round once they arrived. I spent 5 hours in A&E corridor being monitored with no paracetamol for the breast pain even though I asked several times and obviously felt quite traumatised after the whole experience. 
the biopsy wasn’t taken and I obviously felt quite upset. 

After an appointment one doctor said to just do another mamo in a year! I wasn’t happy about that and the consultant did apologise as I had been pushed from pillar to post. They agreed that I needed a referral to cardiology to check my heart as I had problems in the past and once this was done they would re-biopsy at different angle mid to lateral so think this is lying down which would be a lot better for me. I just don’t think I can go through the process sitting up again. 

I have now seen the cardiologist and all is good and was told it was a vasovagal synscope due to the pain and probably a drop in blood pressure. The cardiologist has recommended re-biopsy with sedation. 
my question is is that possible? I have looked online and it says local or general Anastasia no mention of sedation?? 
I suppose I’m trying to find out if this is a thing? 
many help or advice would be much appreciated. 
the other option is to monitor with mammograms but now I know there’s something there obviously I just want it tested and gone if need be. 

I am totally baffled why I passed out and this has never happened before. I think it’s a combination of the lack of prep as the biopsy was not how I had read up on, had no idea I would be upright with some electronic machine above me, a drop in blood pressure and just the fact I was trying not to move or breathe to heavily to avoid moment. Also after the local I did feel pain when the needle had gone in so far which again has contributed. As you can imagine I was not keen to repeat the experience but I’m just hoping the sedation is something that can happen and I can get the biopsy I need. 

many Thanks

Super pink

  • Hi Super pink

    Thanks for getting in touch and welcome to our online community. My name is Sherrye and I’m one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

    I’m so sorry to learn about your experience twice in attempting to have a breast biopsy taken and during both attempts you experienced vasovagal syncope episodes. This must have been very scary for you.

    I’m glad that you’ve been reviewed by cardiology and that they’ve given you the all clear and said that these episodes were likely due to the pain and a drop in blood pressure at the time.

    I understand the cardiologist’s recommendation is to try the biopsy again with sedation. Sedation isn’t commonly given during breast biopsies but given your individual situation this is something that could be done for you, however more preparation would be needed. I would suggest contacting the breast consultant and discuss this recommendation further and to ask for pain relief options too.

    The sedation has to be prescribed by the consultant and given a set amount of time before the biopsy is attempted, the sedation can be an oral tablet or given intravenously through a cannula, both routes of administration will need a bit of time to take effect. Patients under sedation will also need a bed to lay on and an area after the biopsy is completed to recover in before going home. Once the sedation has worn off and the patient can go home, generally they need someone with them for some time afterwards.

    As we are not directly involved in your care I’m unable to say if this is defiantly something your team can do for you but having a conversation now is a good place to start. If this is something that your hospital is unable to do you can always ask for a second opinion or to be referred to another hospital that can offer you a biopsy with sedation.

    An alternation option if you’re able to would be to have this done privately, your GP can give you more information on this and can make this referral for you.

    We understand that during a time like this you can feel very anxious and worried if it helpful you can give us a call on the Macmillan Support Line to talk things through further.

    I hope this information helps. Please feel free to get back in touch if you want more information or support.

    Best wishes,

    Sherrye H,

    Cancer Information Nurse Specialist 

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm), send us an email or contact us through webchat.

    Ref SH/RH