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A few weeks ago I was carrying my dog under my right arm when his paw bumped against my right breast. I barely would have noticed this if nothing else happened, but discharge almost immediately began to leak from the nipple and I promptly drew a breath, walked back to my apartment, and freaked out to my boyfriend. I did a self examine and found a small lump, which sent me into another bout of tears and fears, but then I got down to finding a doctor to help me out.
This happened on a Tuesday. I set up a scan for two days later, where I was told I had a small cyst that was "98% not cancer." That 2% matters, and the radiologist told me to set up an appointment for a biopsy.
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It turns out "biopsy" is the type of word that immediately brings tears to my eyes when it's connected to me. I began crying as she finished the scan, despite her words of reassurance, despite her attempts at asking me questions that could distract me. I cried again when she left the room, cried while texting home, and completely sobbed in the lobby of the office.
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I was in a country where it was possible to turn around and get the biopsy the same day, but I was way too emotional for that so I was sent home with, "You are most likely healthy and OK" and the phone number for a surgeon I could contact directly myself. I waited an hour or two so I could calm down and then reached out, and we set up the biopsy for two days later (four days from experiencing discharge and finding the lump) over text message.
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Part of my fear was due to not really knowing what a biopsy is in the first place. When it comes to my particular issue, there were a few ways they could do the biopsy, but my surgeon told me I'd undergo a fine needle biopsy. It'd require only local anesthesia, which I had mixed feelings about, and the needle itself would be bigger than I'd expect but not painful.
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I told myself not to get on Reddit and read about biopsies ahead of time, but promptly began Googling and Redditing about an hour after that. I also reminded myself of the fact that typically people who are writing in forums on the internet have receied bad news, and that the statistics were in my favor, but I was still really freaked out.
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Just the prospect of the biopsy was worse than the actual biopsy itself. I'm 37, I'm a mom, I'm in a relationship where I feel really loved for the first time in my life. I have two chihuahuas, I have a career I am enthralled by. This wasn't on my to-do list now or ever.
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I was a crying mess the morning of the procedure, but my boyfriend and I set off anyway. I didn't tell my child about it ahead of time because I didn't want to worry him, and instead we sat in the lobby of the hospital, waiting together and trading assurances about how it would all be OK.
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My boyfriend was able to go back into the procedure room with me, which I didn't expect and was tremendously thankful for. There was a spot for him to sit where he was in my line of vision but not close enough to cause any inadvertant medical harm, and having him there where I could see him was exactly what I needed. Looking up to lock eyes with the person you love when you are in a truly vulnerable position is a powerful salve I hadn't experienced up to that point.
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So here's how the actual procedure went: I changed into the gown given to me by the surgeon and anesthesiologist and laid down on the bed. I absolutely promise you that this moment was one of the worst moments in the entire experience: lying down on the table and waiting for it all to begin. At one point the surgeon turned around to tell me something and I nearly jumped off the table before we all laughed.
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They walked me through everything that would happen and showed me the needle. In retrospect, I think it would be better, at least for me, to not have seen it, but either way, I didn't have an understanding of how the procedure would truly work until they began. They made sure the breast was numb and made a small incision; from there, the surgeon began to use the needle to complete the rest.
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Based on my experience and understanding, here's what happened next: the needle is inserted into the cyst and then used to break off a tiny piece of it. The cyst itself was small (1 cm), and the surgeon told me later that it moved a lot (which is supposed to be a good sign), which made it a little tough. In all, they took around eight samples. The anesthesiologist was on hand to help with any bleeding, and I spent nearly the entire procedure with my eyes squeezed shut, holding one of her hands and hoping that each sample was the last one.
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Retrieving the samples is difficult to describe. You'll feel a little pressure, and the needle itself makes a very loud clicking noise that is scary at first but that (at least for me) begins to become reassuring. I was most definitely counting how many samples he took (he told me it wouldn't be more than eight and he stuck by that), so after we crossed the halfway point I began to feel a little better and a little stronger.
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If you are the type of person who can be easily distracted by watching something on TV and your procedure room allows for it, that would be a great distraction from what's going on. Keeping my eyes shut and breathing through it worked for me, and at one point I was even OK with talking about my work and being a mom.
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The experience was definitely unpleasant, and it's not something that I want to do again. I was sent home with a bandage on the incision site and told not to shower for 24 hours. I was also sent home with a prescription for painkillers but I never used it — I took two Tylenol whenever I felt pain for the next two to three days, and that was enough for me.
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The physical recovery was really only tough for the first two to three days. I was sore for a day but it wasn't an insurmountable pain. I slept on my back for about five days after because I was scared to do anything else, and I had a little bleeding off and on for a day or two, but nothing that was cause for concern.
The mental recovery was a little tougher — I am the type of person for whom the before and after a medical experience can be harder than actually getting through the experience itself. I was scared to take the bandage off for two or three days, and was worried that bleeding would randomly start for days after.
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I got my results a week after the biopsy, and I'm happy to report the cyst is benign. Since then, I've found out these cysts are fairly common, and a few women I know started getting them around this age. I'm having the cyst removed completely in a few weeks, and I'm looking forward to putting this entire experience behind me.
*Disclaimer: The advice on LittleThings.com is not a substitute for consultation with a medical professional or treatment for a specific condition. You should not use this information to diagnose or treat a health problem without consulting a qualified professional. Please contact your health-care provider with questions and concerns.