Not quite my usual post subject, I know. But last year when my Dr. brought up a biopsy she said some people report that its very painful and uncomfortable. And of course I had four nodules so they decided to biopsy two at the same time. I tried to find information online about what to expect and I found very little. So I decided to write this post in case I can help others.
The best thing my Dr did last year was give me a sedative to take before my appointment. The anxiety was seriously the worst of my experience. So today when I went again, I took it again.
Once there and changed into one of those flattering gowns, I had a technician walk me through the procedure and had me sign a release. Then I went into the room where they would do the procedure. A pathologist was there preparing my sample slides and laying out the needles the Dr would need. I laid down on the table with a pillow under my back and shoulders so my head would hang back and expose my neck.
When the Dr came in she walked me through the process again and what to watch for after I went home. Mostly neck pain or problems breathing, since they could nick an artery and look out for skin infections, both are rare.
After that she used the ultrasound to located the nodule she was going to biopsy and mark my neck at its location with a pen. Then she cleaned my neck thoroughly. Then a little anesthesia to numb the area. She gave it a minute or two to take effect and then took the first needle and guided it into the spot on the nodule she wanted to sample using the ultrasound. Once she got the needle in position she moved it in and out to try to scrap off some cells for sample. The whole time the needle is in your neck is less than a half minute. The sample is then put onto one of the specimen slides. The pathologist reviews it to make sure they have enough material to test. The process is then repeated with another needle in a different part of the nodule.
Last year I had about seven samples for each nodule, which is not typical. Four samples is usually more standard. Mine for some reason doesn't like to give up cells, which is actually why I had to test the one again this year.
While they are taking the sample you can feel some pressure in your neck, you can feel the needle moving into position. Its a strange feeling but its not uncomfortable or painful. The only pain I ever had was once she hit a nerve and I could feel the pain shot up my neck into my ear. It was a dull pain, not sharp at all and it only lasted a few seconds.
After its all over you have a small bruise and maybe a little swelling that goes away in a few days.
Then its just waiting for the results. The worst part of it all if you ask me.