Stereotactic core biopsy of an impalpable screen-detected breast lesion using acupuncture-analgesia

Stereotactic core biopsy of an impalpable screen-detected breast lesion using acupuncture-analgesia
R E English and J H Chen
Br J Radiol 2010;83:e208-e210

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Chinese acupuncture-analgesia is used for pain management during various surgical procedures. Over the past 40 years this approach has been introduced in many countries and has been particularly helpful in the investigation and treatment of patients who are unable to tolerate conventional analgesia.

We report here the case of a woman with a 17-year history of myalgic encephalitis who underwent a stereotactic core biopsy of the breast under acupuncture-analgesia. A planning session was needed to assess the patient’s existing condition and her response to acupuncture. During this session, a range of frequencies for electrical stimulation of the acupuncture needles using electro-acupuncture apparatus was determined. We describe the combined acupuncture and biopsy procedures and the patient’s impressions and outcomes are recorded

Stereotactic core biopsy of the breast under acupuncture-analgesia was well tolerated by the patient, allowing a satisfactory histological sample to be obtained. Overall the procedure was regarded as successful by the patient and all the staff involved. Given our positive experience with this patient we would be happy to offer the service to other patients who are unable to tolerate conventional local analgesia or who wish to exert patient choice