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Biopsy Diagnosis


The Ansanelli Co2 Laser Biopsy Technologically Empowers the Patient at a Time of Vulnerability; Educate and Compare Options at This Pivotal Moment

The initial phase of having a potential breast cancer

When you are told that you have a suspicious area of concern in the breast that needs to be biopsied for pathological evaluation what options do you have? At this very stressful moment fear and vulnerability set in. Believe it or not, at this very moment you are still in a position of control. Before you tamper and disrupt the region with the immediate option available, educate and evaluate what additional options are available to you. We understand that The Ansanelli Co2 Laser Technique is no yet offered in your area. But, before any poking or prodding, provided is more information to support you in the education process.

What are the typical options of tissue diagnosis?

Typically, the multiple biopsy techniques offered are Fine Needle Aspiration, Core Needle Biopsy, Vacuum-Assisted Breast Biopsy, Scalpel Incisional and Excisional biopsy. You can research more fully on each and individual method but there is a common theme, disruption of potential cancer cells. Let us evaluate each method more thoroughly and compare.

1. Needle Aspiration

When a suspicious area comes up on the scan the radiologist immediately looks to biopsy or aspirate the area to define its chemical nature. They place a needle into the region under a scan (ultrasound, mammogram or MRI) if it is not palpable (can be felt). If the region can be felt this scan guidance is not necessary. Ultimately, they insert a hollowed needle to obtain tissue to be pathologically evaluated. The insertion and removal of this needle can be multiple times. The disruption to the area is not only potentially spreading the cells out of the contained region but simultaneously damaging the tissue. Most often it creates pain, swelling, bruising and potential hematomas.

2. Core Needle Biopsy

The needle utilized for core needle biopsies are larger hollow needles. The needle for Core Needle Biopsy is inserted 3-6 times to obtain enough of a sampling for tissue analysis. This option, like needle aspirations, creates a disruption to the area in question. Cell spread can potentially be escaping through the blood stream. This disruption can potentially create swelling, bruising, hematomas and pain. Due to the small amount of tissue being recovered in this method, after undergoing this process it still does not guarantee that this will provide enough data regarding your tumor. At that time, an excisional biopsy by knife and or cautery would be scheduled to provide a more through pathological analysis.

3. Vacuum-Assisted Breast Biopsy

This method also known as Mammotome, MIBB (minimally invasive breast biopsy), has made an improvement on the previous model of biopsy. The single insertion probe is vacuum-assisted and can remove more tissue than previous methods. This single insertion still removes tissue 8-10 times to obtain enough sampling. There is still disruption occurring internally. The common effects such as pain, bruising, swelling and hematomas can still occur. The cell disruption is still possible as there are no means of sealing off the area when the probe comes out of the region.

4. Scalpel Incisional Biopsy

The surgeon under local anesthesia removes a sampling of tissue by knife, obtaining enough of a specimen for pathological analysis. This method damages the tissue may result in pain, swelling, and hematomas. The knife is incapable of sealing and sterilizing the region upon removal. This method does not have the capability of reducing the potential cancer cell spread through the blood stream and lymphatics during the removal process.

5. Excisional Biopsy/ Lumpectomy

This process like the previous option mentioned is under local anesthesia. The surgeon removes the entire area in question with a larger amount of tissue surrounding the region for pathological analysis. This method damages the tissue resulting in potential pain, swelling, and hematomas. The knife is incapable of sealing and sterilizing the region upon removal. This method does not have the capability of reducing the potential cancer cell spread through the blood stream and lymphatics during the removal process. The electric cautery, cauterizes through means of charring and burning leaving residual tissue damage. This does not leave the area sterile and the damage can create pain, complications, and infections delaying the recovery process.

How The Ansanelli Co2 Laser Technique technologically empowers the biopsy patient

It is important at a moment of intense vulnerability that the patient does not feel rushed into a decision. Vincent Ansanelli M.D., F.A.C.S., developed the CO2 Laser Technique to better serve women in tissue biopsy diagnosis. The patient is put under local anesthesia and undergoes a laser biopsy. This method immediately seals and sterilizes the surrounding blood vessels and lymphatics during biopsy, reducing any spread of the potential cancer cells. This is a painless and damage free process to the patient’s breast tissue. The sufficient tissue sampling is a one step process. Multiple insertions or sampling compared to previously mentioned options are eliminated. Defining the exact chemical nature of the area in question is more efficient in this method while not compromising the patient.

The Ansanelli Co2 Laser Biopsy enables the patient to be proactive in their fight

The Ansanelli CO2 Laser biopsy is painless and eliminates infections, bruising, hematomas, and swelling. The process is fast and efficient. If the patient wishes to have the entire suspicious region removed with a bit of the surrounding tissue instead of just a sampling this is possible too. Dr. Ansanelli provides an additional sealing and sterilization process to the surgical site once the tissue in question has been removed. If this turns out to be cancer this process has been highly beneficial to the patient. Animal studies have demonstrated the Co2 laser sealing and sterilization benefits to reduce local recurrence by 80%.

The most important part as to why Dr. Ansanelli has advanced this option is to better serve the vulnerable patient undergoing breast cancer diagnosis. Empowering both the physical and mental state of the patient is key. Thinking a step ahead, being proactive in addressing breast cancer is an essential first step. Dr. Ansanelli has united technique and technology to better serve breast cancer patients so they are a step ahead in their fight.

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