Skin cancer biopsy is the removal of a number of body tissues, in this case is skin, which will then be sent to a laboratory to be examined, to determine the presence of cancer. To allocate the biopsy area, X-ray, CT scan or ultrasound may be done first. In addition, a biopsy can also be done with the surgery. Biopsy is not a cancer therapy, but this is an investigation to assist the doctor’s diagnosis.
Objectives of Biopsy
Basically, the biopsy was done not without purpose. This is done in order to achieve certain goals. So, what are the objectives of the biopsy? Here are some of the objectives of the biopsy. The first is to determine tumor morphology. Tumor morphology includes tumor histologic type, tumor subtype, and grading cells. The second is to operation radicalism, and the third is for tumor staging. These tumor staging include large and tumor specimens in centimeters, wide extension of tumor, tumor shape, and regional nodes.
Biopsy cannot be done arbitrarily. It must pay attention to the procedures and terms that have been determined. What are the terms to perform a biopsy? The first is when biopsy done, it may not make a flap. The second, biopsy should be done sharply. The third, it is not allowed to install the drain when doing a biopsy. The fourth term is a biopsy done on the suspected tumor. And then, the last term is that in performing the biopsy, the incision line should pay attention definitive treatment plan. In other words, this is done in part that is to be removed when the definitive surgery performed.
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Kinds of Biopsy
The simplest form of biopsy is taking most of the viable tumor pieces, such as the skin or other surface that is easily accessible with suitable cutting pliers. This kind of procedure is generally painless. This is usually done without giving Novocain during cancer is not supplied by the nerve. However, sometimes it is also necessary biopsy involving healthy tissue and diseased tissue suspected to earn a living cell. In this case, local anesthesia is definitely needed. Basically, biopsies are divided into several types. Here is an explanation of each biopsy.
The first kind of biopsy is incisional biopsy. What is the incisional biopsy? Incisional biopsy is taking tissue sample through cutting by using a scalpel. In this type of biopsy, you will be under general or local anesthesia; it is depending on the location of the mass. After that, by using a scalpel, your skin is slashed to find the mass and it is taken a bit to be examined.
The second kind of skin cancer biopsy is excisional biopsy. What is the excisional biopsy? Excisional biopsy is suspected of taking the whole mass to then it is examined under a microscope. This type of biopsy is done under general or local anesthesia; it is depending on the location of the mass. Excisional biopsy is usually done when the tumor mass is still small and there is no metastasis or spread of tumors.
The third kind of biopsy is a needle biopsy. Needle biopsy is taking a sample of tissue or fluid by aspirated through the needle. Typically, this is done by using local anesthesia, can be done directly or with the assistance of radiology such as CT scan or ultrasound as a guide for physicians to make the needle reaches the masses or the desired location. Needle biopsy is divided into two, first, core biopsy, that is, if it uses a large needle and the second, fine needle aspiration biopsy, that is, if it uses a small or a fine needle. Furthermore, there are other types of biopsy needle, which is needle biopsy with the help of an endoscope. In principle, this equates to a needle biopsy, which is taking a tissue sample with a needle aspiration, but this method using an endoscope as a guide. This method is good for tumors in the body such as the respiratory tract, gastrointestinal, and womb.
The last is punch biopsy. This type of biopsy is usually done on skin disorders. This method is done with a tool such as the size of a pencil, which is then focused on abnormalities in the skin. After that, a sharp instrument on it will take a tissue pressed. In this type of biopsy, you will only need local anesthesia and when the taking of tissue is not large, the skin does not need to be stitched.
Biopsy Preparation and Implementation
What you need to be prepared before doing a biopsy? One week before the biopsy done, you have to stop all kinds of drug consumption that makes impaired blood clotting, such as aspirin, Coumadin, and non-steroidal anti-inflammatory Drugs (NSAIDs). It would be better if you consult to your doctor if you should still consume drugs prescribed for you or not. When the biopsy is doing, you will be laid on the examination table. After that, you may have an X-ray, CT scan or ultrasound to determine the location of the biopsy. Furthermore, the biopsy site is cleaned. Then, the dope is inserted into the body; you may feel a mild stinging pain. When the biopsy area has been anesthetized, a small needle will be inserted into the area to be examined. After that, most of the tissues or cells are retrieved. In some cases, minor surgery may be done so that tissue or a lump can be taken to be examined. After that, the needle is removed. Biopsy area will be suppressed and will be installed a small gauze. If the surgery is done, it will be suturing afterwards.
After the biopsy is done, it is likely there will be bruising, discomfort or swelling where the biopsy was done. If necessary, use a painkiller that does not contain aspirin. Put ice cubes to taste over the wound to reduce bruising and swelling. Avoid strenuous activity or lifting loads greater than 2.5 kg for 24 hours. Slowly you can perform normal activities.
The Other Knowledge of Biopsy
If the biopsy revealed normal results, then there is no abnormality or malignancy in tissue taken. But if the results of the biopsy revealed abnormal, it does not mean you have cancer. Abnormal results mean there are abnormalities in tissues that could mean benign or malignant so ask your doctor about the interpretation completely. If your biopsy results are inconclusive or inconclusive, then the chances of tissue samples taken are not representative and possibly a biopsy should be repeated. Possible side effects are bleeding, bruising and infection. If you experience these signs immediately go to the doctor. According to the study, if the skin cancer biopsy is done by experts, the possibility of the spread of cancer cells through the blood is minimal.Tags: Biopsy, Cure, removal, surgery