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    Bibek Raj
    This document discusses different types of biopsies including surgical biopsies like incisional, excisional, and punch biopsies. It also mentions fine needle aspiration cytology, exfoliative cytology, brush biopsy, frozen section biopsy, and core needle biopsy. It provides more detail on incisional and excisional biopsies, including their indications, techniques, and disadvantages.

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    3 Uhnjkc

    Uploaded by

    Bibek Raj
    127 views8 pages
    This document discusses different types of biopsies including surgical biopsies like incisional, excisional, and punch biopsies. It also mentions fine needle aspiration cytology, exfoliative cytology, brush biopsy, frozen section biopsy, and core needle biopsy. It provides more detail on incisional and excisional biopsies, including their indications, techniques, and disadvantages.

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    This document discusses different types of biopsies including surgical biopsies like incisional, excisional, and punch biopsies. It also mentions fine needle aspiration cytology, exfoliative cytology, brush biopsy, frozen section biopsy, and core needle biopsy. It provides more detail on incisional and excisional biopsies, including their indications, techniques, and disadvantages.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    127 views8 pages

    3 Uhnjkc

    Uploaded by

    Bibek Raj
    This document discusses different types of biopsies including surgical biopsies like incisional, excisional, and punch biopsies. It also mentions fine needle aspiration cytology, exfoliative cytology, brush biopsy, frozen section biopsy, and core needle biopsy. It provides more detail on incisional and excisional biopsies, including their indications, techniques, and disadvantages.

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    Types of Biopsy

    • Surgical biopsy- Incisional Biopsy ,Excisional Biopsy and


    Punch Biopsy.
    • Fine Needle Aspiration Cytology(FNAC) and CT guided
    FNAC.
    • Exfoliative Cytology.
    • Brush Biopsy.
    • Frozen Section Biopsy.
    • Core Needle Biopsy. trucut biopsy
    STEPs OF BIOPSY

    • 1.SELECTION OF AREA OF BIOPSY


    • 2.PREPARATION OF SURGICAL FIELD
    • 3.LOCAL ANASTHESIA
    • 4.INCISION
    • 5.HANDLING OF SPECIMEN
    • 6.SUTURING OF THE RESULTING WOUND
    INCISIONAL BIOPSY

    If a lesion is large or has different


    characteristics in various locations
    more than one area may need to be
    sampled
    Incision should extend from the ulceration out onto clinically normal tissue

    Grasp area to be removed with forceps and make an elliptical incision from the centre out
    onto clinically normal tissue: wound after removal of incised tissue: suturing completed
    Incisional Biopsy
    • Indications:
    • Size limitations
    • Hazardous location of the lesion
    • Great suspicion of malignancy

    • Technique:
    • Representative areas are biopsied in a wedge fashion.
    • Margins should extend into normal tissue on the deep surface.

    • Necrotic tissue should be avoided.


    • A narrow deep specimen is better than a broad shallow one.
    DISADVANTAGES:
    1. Crush, splits and haemorrhage are the artefacts most
    frequently found in incisional oral biopsies.
    2. Theoretical seeding of cancer cells into the adjoining tissues.
    Excisional Biopsy
    The entire lesion with 2 to
    3mm of normal appearing
    tissue surrounding the
    lesion is excised if benign.
    Excisional Biopsy

    An excisional biposy implies the complete removal of the


    lesion.
    • Indications:
    • Should be employed with small lesions. Less than 1cm
    • The lesion on clinical exam appears benign.
    • When complete excision with a margin of normal tissue is
    possible without mutilation.
    Excisional Biopsy

    • Technique:
    • The entire lesion with 2 to 3mm of normal appearing
    tissue surrounding the lesion is excised if benign.

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