Surgical Biopsies – Common Surgical Biopsies

There are many different reasons your physician would want to complete a surgical biopsy. The there most common reason is to assess the nature of the tissue in a given area. It is the most accurate method of assessing possible cancer, immune-related and developing a successful surgical approach. It is an accurate diagnostic procedure that does not involve an invasive approach and reduces the downtime associated with making an accurate diagnosis, or assessment.
Biopsies are one of the most common surgical procedures Franklin TN. If your doctor has recommended a biopsy to develop a better understanding of your current situation, there are a number of methods they could use to complete the procedure. This will be determined by the overall goal, and the location they will be testing.

The most common type of biopsy performed is a core needle biopsy. This is the standard method for diagnosing cancer or diagnosing genetic disorders that affect the muscle. This is an accurate approach and does not involve surgery. However, there are some cases where a surgical biopsy is necessary to achieve the physician’s goal.

After the tissue is removed through a biopsy, special protocols are followed to examine the tissue under a microscope, sometimes using a medical dye. If any abnormalities are found, you may undergo additional testing to determine the origin of the abnormal results, and develop an approach to bring the tissue back to a normal, homeostatic state.

Surgical Biopsy Types
The majority of surgical biopsies are considered excisional biopsies. Using this approach, the tissue that is considered abnormal is removed, along with some additional tissue around the area, known as the margin, is removed and examined.

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It is less common, but acceptable, for a doctor to request an incisional biopsy. This procedure approach involves cutting into and removing a portion of the abnormal tissue. With advancements in science, this type of procedure is not as common, but it is still performed on an occasional basis.

Excisional Surgical Biopsies
An excisional biopsy is performed in an operating room. Local anesthesia is used to numb the area that will be biopsied, and you will be given a sedative that will allow you to stay awake through the procedure, instead of getting general anesthesia. This is typically completed on an outpatient basis.

During the procedure, the edges of the abnormal tissue are studied to determine whether there is enough normal tissue surrounding it to completely remove the abnormal area. This normal tissue is called a rim, or margin.

Excisional Biopsy Advantages
An excisional biopsy is an accurate method of testing and provides less false negative results than other biopsy approaches. The surgeon and pathologist are able to properly assess:

  • The size of the tumor
  • The type of tumor
  • The grade of the tumor
  • The ability of the tumor to absorb hormones

There are different methods of approaching tissue biopsies and each one provides its own benefits and drawbacks. Your doctor will carefully weigh the biopsy options available in your specific situation and make a determination about what is best for your health.