What is a biopsy and why is it done?

Biopsy means "taking a piece" from any tissue under a microscope for pathological or genetic examination. who said; Gynecology and Obstetrics Specialist Op. Dr. Abdulaziz Akkaya said, “We often send the materials taken after biopsy to pathology laboratories. In some special cases, it can also be sent to "genetic laboratories" for genetic analysis purposes. he said.

Reminding that biopsy is popularly referred to as "part removal", "sample taking", "part removal", Op. Dr. Abdulaziz Akkaya said, “Although preliminary diagnosis is made with clinical and blood values ​​in many diseases, pathological evaluation of the tissue by taking a biopsy is essential to make a definitive diagnosis. Biopsy can be performed from any suitable organ. "The most common of these organs include skin biopsies, thyroid biopsies, breast biopsies, liver biopsies and bone biopsies," he said.

There is no need to fear

Stating that taking a biopsy is something that women do not like, Op. Dr. Abdulaziz Akkaya said, “The process of taking a biopsy from suspicious lesions often creates psychological anxiety in people and causes them to feel fear as if they will experience pain. However, many people, especially those who are worried about the result being cancer, can take a deep breath when they see the pathology report after the biopsy and realize that their worry is unnecessary.” He said.

Op stated that a needle was used for biopsies. Dr. Akkaya said, “Needle biopsies can be in the form of fine needle biopsies or thick needle biopsies. While the biopsy material taken in fine needle biopsies is less, thick needle (also called tru-cut biopsy) biopsies result in more material, thus enough material is obtained for more detailed histopathological examinations. Biopsies can be performed under local anesthesia, general anesthesia or without anesthesia. “They can be performed in outpatient clinic conditions or in the operating room.” he said.

Pathologists are examining

It can be done in two ways

Biopsycan be performed incisional or excisional. This situation is related to the location of the biopsy, the size and shape of the lesion, the organ in which it is located and its functions. In incisional biopsies, only a certain amount of sample is taken from the problematic area and biopsy material is sent to pathology.

In incisional biopsies, the entire lesion is not removed, only a part of it is sampled. If the entire lesion needs to be removed after incisional biopsy, the remaining part of the lesion must be removed with a second intervention and sent back to pathology so that the definitive treatment can be completed. Excisional biopsy is performed by removing the entire suspicious lesion during biopsy. As a result of the histopathological examination of the biopsy material, if the lesion has been removed with solid surgical margins and there is no remaining part of the lesion, the treatment is completed with biopsy. If, as a result of the biopsy of the lesion, the surgical margins show that the lesion continues in the remaining tissue, complementary surgery may be required. This will vary depending on whether the lesion is benign or malignant. Biopsies can be performed directly by surgeons or by pathologists or physicians from the relevant department. While doctors can perform biopsies directly without the guidance of any imaging method, they can also perform ultrasound, computed tomography or magnetic resonance, endoscopic instruments (colonoscopy). They can also do it with the help of devices such as gastroscopy, bronchoscopy.

Dilatation Curettage – How is Endometrial Biopsy Done?

Dilatation curettage, in other words, the process of removing a piece from the uterus. It can be done for various reasons. The most common reasons are termination of pregnancy, suspicious masses such as myomas or polyps in the uterus, excessive and long-lasting irregular menstrual bleeding, to clean the remaining parts after miscarriage, sometimes in case of suspicion of ectopic pregnancy... Taking a piece from the inner layer of the endometrium for pathological examination is called endometrial biopsy.

Removing a piece from the uterus

Removing a piece from the uterus. It can be done under local anesthesia or general anesthesia. The process takes approximately 10 minutes. If it is performed with local anesthesia, the patient can stand up and leave the hospital shortly after the procedure. If it is performed under general anesthesia, you can leave the hospital (or office) 1-2 hours after the procedure. It is normal to have a small amount of bleeding or spotting after the procedure. Mild pain may continue the day of the procedure. When the result of the piece taken from the uterus is obtained from the pathological examination, the treatment is planned according to the result.

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