Pediatric Hematology and Oncology | Johns Hopkins Aramco Healthcare
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Pediatric Hematology and Oncology

What is pediatric hematology and oncology?

Breast biopsy

If a breast mass has been felt by you, or detected by a mammogram or ultrasound, you may be invited for a breast biopsy. A breast biopsy is the procedure of obtaining tissue samples from the breast to closely check a breast abnormality/lesion that has been detected. The radiologist will decide whether the biopsy will be carried out using the stereotactic (mammogram-guided) or the ultrasound-guided method.

A local anesthetic will be injected into the area of your breast that has the mass, and the procedure will usually take between 30 and 60 minutes. It will be performed in a private suite by a female technologist and radiologist.

There is no need to fast before the procedure. If you take aspirin or any anti-coagulant, you should stop taking this three to five days before the biopsy appointment. Do not wear powder, deodorant or perfumes in your underarm/breast area, as these can interfere with accurate visualization of your breast tissue. You will be asked to undress from the waist up, and change into a hospital gown (in a private dressing room). Let the technologist know if you are nursing or if you think you could be pregnant. Be sure to bring a friend or family member with you, but no young children.

You can expect to get your initial results between three and five working days after the test. You can follow up with your physician for the full report, which will be available within two weeks. If the biopsy shows an area of concern, you will be invited to attend the Breast Cancer Clinic.

What to expect from pediatric hematology and oncology

You will be invited to meet with our highly trained specialist doctors, to create a dedicated care plan for your child. After deciding on the best path forward, we will order the necessary tests, medications and other referrals to start your unique plan. Your child may receive treatment as an inpatient or outpatient, based on your physician’s recommendation.

Laboratory results are very important to your child’s treatment plan, and you can expect to routinely visit your local laboratory prior to all appointments or treatments. Our nursing staff will call you 48 hours before your child’s appointment to review their laboratory work, or remind you to have this completed before coming to the clinic. For all procedures, you will be given detailed preparation instructions before attending.

On the day of treatment or infusion, we will check your child’s general health, and their laboratory values will be reviewed if necessary. We will keep you informed of results and what is going on at every stage of treatment. It is important that you let your child’s nurses know if they feel unwell or have a fever, as this may affect their treatment. We will often place children and their families with other children undergoing treatment, to make them feel more comfortable.

As treatment may be customized to your child’s particular needs, there may be a wait for medication or therapy to arrive. Every effort is made to limit your wait time, and ensure the high quality and safety of medication. Your child’s treatment can last between one and eight hours, depending on the type of therapy they are on.

Following treatment, you will continue to meet with a doctor as necessary. Directly after treatment, you will be given discharge instructions and we will discuss possible side effects, complications or other concerns. Once your child’s course of treatment is complete, they may continue to be monitored by our pediatric care team for several months.

Find out more about our Pediatric Care services

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