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Breast Intervention
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Breast / Thyroid Lymph node/ Soft tissue 

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Preparation Before Examination
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General

  • The whole check up can take around 1-2 hours (registration and waiting time included), please reserve enough time.
  • All medications except those for diabetes can be take as usual.

For Women

  • Women cannot have pap smears or urine tests during menstruation.
  • For women who are pregnant, please notify the staff as soon as possible, as some of the examination items cannot be performed, such as X-rays or pap smears.

Preparation before X-ray examination and mammography

  • If in doubt or during pregnancy, X-ray, mammography or DEXA cannot be performed.
  • For mammography, antiperspirants should not be applied.

Preparation before ultrasound

  • You should fast for 6 hours before the abdominal/ gallbladder ultrasound.
  • Ultrasound of pelvis, prostate or bladder requires a full bladder. Please drink around 300ml of water before the examination.
More Information
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Breast Intervention
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When other tests show that you might have breast cancer, you will probably need to have a biopsy. Needing a breast biopsy doesn’t necessarily mean you have cancer. Most biopsy results are not cancer, but a biopsy is the only way to find out for sure. During a biopsy, a doctor will remove small pieces from the suspicious area so they can be looked at in the lab to see if they contain cancer cells.

Types of breast biopsies
There are different kinds of breast biopsies. Some are done using a hollow needle, and some use an incision (cut in the skin). Each has pros and cons. The type you have depends on a number of things, like:

  • How suspicious the breast change looks
  • How big it is
  • Where it is in the breast
  • If there is more than one
  • Any other medical problems you might have
  • Your personal preferences

For most suspicious areas in the breast, a needle biopsy (rather than a surgical biopsy) can be done. Ask the doctor which type of biopsy you will have and what you can expect during and after the procedure.

Fine needle aspiration (FNA) biopsy
In an FNA biopsy, a very thin, hollow needle attached to a syringe is used to withdraw (aspirate) a small amount of tissue from a suspicious area. The needle used for an FNA biopsy is thinner than the one used for blood tests.

Core needle biopsy
A core biopsy uses a larger needle to sample breast changes felt by the doctor or seen on an ultrasound, mammogram, or MRI. This is often the preferred type of biopsy if breast cancer is suspected.

  • Suspicious lesions require tissue diagnosis
  • Ultrasound guided or Stereotactic (x ray) guided
Why it’s done
  • Your doctor may recommend a breast biopsy if:
  • You or your doctor feels a lump or thickening in your breast, and your doctor suspects breast cancer
  • Your mammogram shows a suspicious area in your breast
  • An ultrasound scan reveals a suspicious finding
  • Your breast MRI reveals a suspicious finding
  • You have unusual nipple or areolar changes, including crusting, scaling, dimpling skin or a bloody discharge

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FNA vs Biopsy
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 FNA Biopsy
~ 15 minutes ~ 30mins + 30mins to stop the bleeding
No anaesthesia, no incision wound – Local anaesthesia injected
– 2mm tiny wound
Like a blood test 2-3 tissue samples
Aspiration of cells High accuracy

抽取軟組織檢查是甚麼?
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從身體的軟組織中,取出一小塊樣本,然後送到化驗室,在顯微鏡下進行病理分析,以確定病變的性質(例如是良性還是惡性、是發炎還是腫瘤)。醫學上更常被稱為 「軟組織活組織檢查」 或 「軟組織切片檢查」,是一種醫療診斷程序。

為什麼需要進行軟組織檢查?
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當醫生透過影像檢查(例如超聲波、MRI磁力共振或CT掃描)在上述的軟組織位置發現無法確定屬性的「腫塊」(Lump/Mass) 或異常時,便會建議進行檢查。透過分析抽取的組織樣本,準確判斷腫塊屬良性還是惡性(癌症)

過程會很痛嗎?
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會在檢查前進行局部麻醉,確保您在過程中不會感到痛楚,只會有輕微的觸碰感。

傷口會很大嗎?會留下疤痕嗎?
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這是微創檢查,傷口極微細(約2-5mm),無需縫針,癒合後疤痕幾乎看不見。

抽針會不會導致癌細胞擴散?
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這是一個常見的誤解。根據全球大量醫學實證,標準的活組織檢查程序是十分安全,並不會引致癌細胞擴散。[1]

檢查後多久可以拿到報告?
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組織樣本會送往化驗室,報告一般在 7-10個工作天內完成。我們會立即通知您,並安排醫生為您講解。

由於有傷口,檢查後有什麼需要留意?
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檢查當天,建議避免提重物、進行劇烈運動(如跑步、游泳、瑜伽)或穿著過緊的胸圍,讓傷口有足夠時間休息。一般在24小時後便可如常淋浴及恢復日常活動。

如果化驗報告結果是良性的,是否還需要跟進?
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醫生會根據良性腫塊的種類,建議是否需要定時(如每半年或一年)進行監察,以確保其穩定性。