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Fine Needle Aspiration

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Fine Needle Aspiration

Postby Roar2Life » Wed Jul 11, 2007 6:59 pm

Hey guys.

I've had a lump on the inside of my elbow for a couple of months now so I went to the doctors a couple of months ago and they did an ultrasound. The ultrasound showed it measured 14mmx14mmx6mm and its features were non specific. So pretty much they don't have a clue what it is. When I went back to my doctor he decided we would wait 6 months and then do a follow up ultrasound unless it got bigger or started hurting in the mean time. For the past month or so it gets bigger every now or then but on the weekend it got really big and was really painful so mum made me go back to the doctors.

So I went today and was given 2 options: have surgery to have it removed or have a fine needle aspiration(FNA) to try and drain it and the stuff that comes out can be tested to make sure its not cancerous. I didn't have a clue which way to go but after some discussion I decided to have a FNA which is scheduled for a week and a halfs time.

SO to the point of this post...has anyone had one before and what is it like (honestly please).

Thanks guys and sorry for such a long post.
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Postby Sassygirl » Wed Jul 11, 2007 7:01 pm

I am also due to have a FNA on a lump in my breast - so would also like to hear from other people who have had this done as well.
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Postby MissE » Wed Jul 11, 2007 7:16 pm

honestly, id have it taken out. I had a FNA, it was uncomfy and didnt show conclusive results. i ended up having the lump removed, it was day surgery and i wished after id just done that. basically, you have a growing lump. im sure you dont want it there. Even if its harmless, do you just want to leave it there? I'm guessing you want it gone no matter what it is, so why bother messing with it while its still in your body? Having it taken straight out lets them test it after and find out what it was, thus getting conclusive results and then its just gone.

Also, i dont know how true this is, but ive been told that in a few cases an isolated cancer can be punctured by a FNA and then the insides release and it is spread. The person who told me this pointed out that sometimes you see people with a lump they have had for ages and finally get checked only deteriorate after the lump is biopsied!

BTW my lump was on my neck and was 3cmx1cmx1cm.
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Postby MissE » Wed Jul 11, 2007 7:16 pm

just rereading, i sound way bossy! sorry! i just remember wishing that i never bothered with the FNA when id had it!
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Postby MissE » Wed Jul 11, 2007 7:18 pm

argh, me again! here is a link talking about how biopsy (FNA) might actually help spread a cancer: http://www.healingcancernaturally.com/b ... ancer.html
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Postby kate_turner2000 » Wed Jul 11, 2007 7:25 pm

ewww my uncle has that acidy gout stuff drained from his foot and he has big calcified lumps on her elbows. :shock: i hope you and michelle are going to be ok and its nothing too serious?
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Postby MissE » Wed Jul 11, 2007 7:26 pm

ive been googling more, and if you search for 'cancer spread biopsy' you will get page after page of warnings and stories about biopsies...
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Postby Ses » Wed Jul 11, 2007 7:41 pm

speaking as a medical person (which I am), FNA are good at defining what the lump is. There is a risk of spreading cancerous cells if it is a malignant tumour, but very little risk if it is one of the many other lump forming pathologies that people can get.

I would go with the advice of your Dr (or a specialist). If they were concerned about a malignancy they should tell you. They would not be likley to recommend an FNA if this was the case.

Hope it goes well whatever you decide.
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Postby Mandie » Wed Jul 11, 2007 8:14 pm

As above... there is a very small - very small - almost miniscule - risk that a FNA can cause spread of a cancer. However, it could only cause spread into where the needle passes through - the skin.. and frankly, that's not really a problem. The cancer spreading to deeper blood vessels and lymph nodes is the problem! So FNAs are often done to determine what a growth may be., and they are a very safe test.

As for
sometimes you see people with a lump they have had for ages and finally get checked only deteriorate after the lump is biopsied!

-- this is because the person had the lump for "ages", and once it got big enough for them to decide to see a doctor, and have it checked, the cancer was quite advanced.

If you have a lump that is growing rapidly, in an awkward spot or is just annoying/doesn't look good - you will likely want it removed anyway, so there is little point going ahead with the FNA. They can remove the whole lump and then test samples to see if it was cancer, and if so, they can arrange further scans etc to see if it had spread. So - if you are happy to put up with the lump, go the FNA. If it's negative, you can just ignore it. If you want it removed either way, might as well just get that done right away.

You'll be injected with local anaesthetic (which stings.. but only for a few seconds!) and then they will do the biopsy. You will feel pressure as the needle goes in, but should not feel any pain. If you feel sharp pain - tell your doctor! Some people need more local anaesthetic than others, so if you tell your doctor you're in pain, he/she can inject a bit more anaesthetic for you. It shouldn't hurt!
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Postby Roar2Life » Sat Jul 28, 2007 4:27 pm

Hey guys. Just thought i'd let you know how I got on. The lump is nothing serious and I can have it taken out if I want to or just leave it. So for now i'm just going to leave it as it has become smaller and less noticeable.

How did you go Sassygirl?
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Postby kate_turner2000 » Sat Jul 28, 2007 5:00 pm

glad to hear you are ok roar, hope the lump does go away on its own :)
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Postby Sassygirl » Sat Jul 28, 2007 8:20 pm

Thank the good lord that mine was nothing sinister either. I just have naturally "lumpy" boobies that get even more lumpier and tender during that time of the month!!!!

Glad to hear yours was all clear as well - it does scare the hell out of ya hay??
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Postby Ses » Sun Jul 29, 2007 12:28 pm

Great news from both of you! Thanks for letting us know.....
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Postby Roar2Life » Sun Jul 29, 2007 6:52 pm

I agree it scares the hell out of you. You try not to think how bad it could be but you just can't help it. :lol: Sure does make you appreciate your life a bit more.
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Postby grugwashere » Mon Jul 30, 2007 12:58 pm

would you want the lump removed anyway for cosmetic reasons? if you plan on getting it take out anyhow why dont you just get it all done at once...

im not the brightest crayon in the box... thus my answer is relatively stupid....
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