A fresh research has revealed that far too many patients with abnormal mammograms or related breast problems are being treated with surgical biopsies instead of needle biopsies, a much more safe, less intrusive and inexpensive treatment.
A Florida research discovered that 30% of all breast biopsies conducted there within a period of five years from 2003 – 2008 involved surgery. This is 20% more than the medical guidelines prescribe.
The study also indicates that the national rate is likely to be the same to that of Florida. This will mean that more than 300,000 breast biopsies sufferers will undergo unrequited surgical treatment. This will cost them several hundred million dollars. Majority of the victims do not suffer from cancer. If you are suffering from cancer, then having a biopsy surgery means you undergo two separate operations. This might even mean a more difficult second surgery for the cancer when a needle biopsy would have made it more easier.
The lead researcher, Dr Stephen R. Grobmyer, reveal that the team begun the studies when they were sent patients, on a consistent basis, who were being treated with biopsy surgery rather than a needle biopsy.
Dr. Grobmyer said, “After seeing this happen on a consistent basis, you suspect something is not being done right”.
The researchers are not sure why there is such a widespread use of surgical biopsies. They suspect this might be due to the fact that not every doctor follows the medical guidelines and advances. They also suspect this might be a case of doctors refusing to refer patients to radiologists, who do the needle biopsy, so they can keep their surgical biopsies fees.
The are many advantages to using a needle biopsies as opposed to using a surgical biopsies. The later will mean making a a larger incision to conduct the operation whiles the former only requires a tiny incision. The later may require general anesthesia, stitching and might leave a scar on the skin while the former requires no stitches and presents a lesser chance of developing a scar.
When the anomaly in the breast is very small and can not be detected by feeling the breast, then a mammogram will be required. This means the needle biopsy can only be performed by using mammography or any other imaging technique. This means only a radiologist will perform the needle biopsy. In the case where you can detect the lump by feeling the breast, then a surgeon can perform the needle biopsy as imaging will not be required.
The study reveals that hospitals will bill a patient anywhere from $5,000 – $6,000 per needle biopsy and twice that for surgical biopsy. This presents an incentive for doctors to keep patients for surgical biopsy instead of referring them to radiologists for needle biopsy. Doctors earn estimated $1,500 – $2,500 per surgical biopsy as opposed to $75o – $1,500 per needle biopsy.
Many surgeons have agreed with the research with many saying that they have seen so many patients who have had surgical biopsy instead of needle biopsy. And many believe this is happening because doctors don’t want to lose the fees they get for performing open biopsies.
The study also reveal that majority of doctors who perform open biopsy instead of needle biopsy were doctors in private practice as opposed to doctors employed by hospitals.
So how do we stop so many people from undergoing surgical biopsy rather than needle biopsy?
One way is for hospitals to ban doctors who deliberately encourage patients to chose open biopsy over needle biopsy. People need to be more educated about this issue.
Also if your doctor tells you you need open biopsy rather than needle biopsy and you don’t have cancer, ask them why and look for a second opinion.