Pain After Core Needle Biopsy: Is It Normal?

Q: Pain After Core Needle Biopsy: Is It Normal?

Dear Zhenzhen： 1. Normal. 2. It may not necessarily be related to the coarse needle puncture; it could be influenced by hormonal changes in the body. 3. Depending on the location of the tumor, the needle insertion is generally not very deep, and there are no

Pain after a fine needle aspiration?

Hello Doctor, I suddenly discovered a hard lump under my right breast in mid-September.
After undergoing a core needle biopsy last week, it has been a week now, and I occasionally experience pain that comes and goes randomly.
Is this a normal phenomenon? Additionally, I sometimes feel sharp pain near the right breast (approximately from the lower part of the breast to the armpit).
Is this related to the core needle biopsy? Is it also a normal occurrence? How deep is the wound from the core needle biopsy? Do I need to avoid certain foods? Furthermore, if it is a fibroadenoma (about 1.3 cm) and I feel pain when touching it, should I undergo further examination? Is it normal for a fibroadenoma to cause mild pain? What recommendations do you have for preventing the fibroadenoma from growing larger or becoming malignant in daily life? Are there any specific foods I should avoid? Thank you.

Zhenzhen, 20~29 year old female. Ask Date: 2013/11/18

Dr. Zhou Jiazhen reply Breast and Thyroid

Dear Zhenzhen:
1.
Normal.
2.
It may not necessarily be related to the coarse needle puncture; it could be influenced by hormonal changes in the body.
3.
Depending on the location of the tumor, the needle insertion is generally not very deep, and there are no dietary restrictions needed.
4.
No further examinations are required; regular follow-ups are sufficient.
Sometimes the tumor may increase or decrease in size and may cause pain.
5.
Foods or lifestyle factors that generally affect ovarian function could potentially cause it to enlarge, such as high-fat foods, animal fats, caffeine-containing foods, emotions, stress, insomnia, staying up late, and fatigue, among others.
It is rare for it to become malignant, but regular monitoring is still necessary.
Wishing you peace and health.
Director of Surgery, Taoyuan Hospital, Ministry of Health and Welfare
Zhou Jiazhen

Reply Date: 2013/11/18

More Info

Experiencing pain after a core needle biopsy, particularly in the breast, is not uncommon and can be considered a normal part of the healing process. The core needle biopsy procedure involves inserting a hollow needle into the breast tissue to obtain a sample for analysis. This can cause some trauma to the surrounding tissues, leading to localized pain, tenderness, and even swelling in the area where the biopsy was performed.
The pain you are experiencing, which occurs randomly and is described as occasional, may be attributed to the healing process of the tissue. It is also possible that the pain radiating from the area near your breast to your armpit could be related to the biopsy, as the procedure can cause irritation to the surrounding nerves and tissues. This type of referred pain is not unusual after such a procedure.
Regarding the depth of the biopsy wound, core needle biopsies typically do not create very deep wounds, but they can penetrate through several layers of tissue. The depth can vary depending on the specific technique used and the location of the lesion being biopsied. Generally, the incision is small, and the healing time is relatively quick.
As for dietary restrictions, there are no specific foods that you need to avoid after a core needle biopsy. However, maintaining a healthy diet rich in fruits, vegetables, whole grains, and lean proteins can support your overall healing process. Staying hydrated and avoiding excessive alcohol or processed foods can also be beneficial for your recovery.

If the fibroepithelial tumor (fibroadenoma) you mentioned is approximately 1.3 cm and is causing pain upon palpation, it is advisable to follow up with your healthcare provider. While mild discomfort can be normal, any significant changes in size, shape, or pain level should be evaluated further. Regular monitoring through clinical examinations and imaging studies, such as ultrasound or mammography, may be recommended to ensure that the tumor remains stable and does not exhibit any concerning changes.

To prevent the growth or potential malignancy of a fibroadenoma, it is essential to maintain a healthy lifestyle. This includes regular exercise, managing stress, and avoiding smoking. While there is no definitive evidence linking specific foods to the growth of fibroadenomas, some studies suggest that a diet low in saturated fats and high in fiber may be beneficial for breast health.
In summary, the pain you are experiencing post-biopsy is likely a normal part of the healing process. However, it is crucial to maintain open communication with your healthcare provider regarding any concerns, especially if the pain persists or worsens. Regular follow-ups and monitoring of the fibroadenoma are essential to ensure your health and well-being. If you have any further questions or concerns, do not hesitate to reach out to your doctor for personalized advice and guidance.

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