
What are different Types of Biopsy ? DNB ENT OSCE Viva Question.
Biopsy is a procedure to obtain tissue for microscopical examination, usually to arrive at a diagnosis. Types of biopsy is given in following sections.
Skin biopsies are vital in dermatology to help in the correct diagnosis of different conditions and also to help with therapeutic preparation. Different skin biopsy strategies exist, consisting of shave, saucerization, curettage, snip, incisional and excisional biopsy. An excisional biopsy is defined by the procedure of completely eliminating a solitary skin lesion.
Indications for biopsy1
- Any lesion or swelling in skin, subcutaneous tissue, muscle or organs such as liver, lung, tongue, rectum, bone marrow, prostate, brain, kidney and almost all organs in the body before excision are meant for definitive diagnoses.
- Any lesion suspicious of malignancy (Persistence of lesion or ulcer, sudden increase in size, change in character, color or consistency, bleeding to touch, becomes fixed to surrounding structures).
- Precancerous lesions (Leukoplakia, etc.)
- Inflammatory lesions: Ulcerative colitis, Crohn’s disease, amyloidoses, vasculitis, etc.
- Bone lesions not identified by clinical and radiographic findings
- Nonhealing ulcers.
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Types of biopsy1
- Aspiration biopsy cytology or fine needle aspiration cytology.
- Trucut biopsy.
- Incisional biopsy – wedge biopsy or punch biopsy
- Excisional biopsy.