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Doctor insights on: What Is The Difference Between An Excisional And Incisional Biopsy

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What is the difference between an excisional and incisional biopsy?

What is the difference between an excisional and incisional biopsy?

Type of surgery: An incisional biopsy cuts out a piece of the tumor but does not remove it completely. An excisional biopsy removes the entire tumor which can them be studied in the laboratory. ...Read more

Dr. Ronald Krauser
2 doctors shared insights

Biopsy (Definition)

Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more


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Anyone ever heard of doing an incisional biopsy to diagnose skin rash?

Anyone ever heard of doing an incisional biopsy to diagnose skin rash?

Punch biopsy: Punch biopsy is considered the primary technique to obtain diagnostic, full-thickness skin specimens. It is performed using a circular blade or trephine attached to a pencil-like handle. The instrument is rotated down through the epidermis and dermis, and into the subcutaneous fat. The punch biopsy yields a cylindrical core of tissue that must be gently handled (usually with a needle). ...Read more

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Incisional biopsy- does a mole that was picked off, but needed biopsy, have to wait for wound to heal before a biopsy can be done?

Incisional biopsy- does a mole that was picked off, but needed biopsy, have to wait for wound to heal before a biopsy can be done?

No: The biopsy or re-excision can be done any time. You do not need to wait for the area to heal. You should go see a dermatologist or a primary care doctor who can check you and excise this area if there is any suspicion of melanoma in your case. ...Read more

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Swollen lymph node over 5 months with atypical cells diagnosed by needle biopsy. No other symptoms. How likely will incisional biopsy find cancer?

Swollen lymph node over 5 months with atypical cells diagnosed by needle biopsy. No other symptoms. How likely will incisional biopsy find cancer?

Possible: Needle biopsy is considered insuficent to establish a diagnosis of lymphoma. A 5 month hisotry of swollen lymph nodes with atypical cells seen on FNA warrents an excisional biopsy as this is likly lymphoma. ...Read more

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What is the definition or description of: excisional biopsy?

What is the definition or description of: excisional biopsy?

Biopsy with intent!: An excisional biopsy is a biopsy where the lesion is also excised or removed. When people here the word biopsy, they usually think that just a small sampling of the lesion will be obtained. However, there are times when its more appropriate to remove the whole lesion and send it to pathology. This would be an excisional biopsy. ...Read more

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Is excision skin biopsy is safe after the whole lesion is taken?

Is excision skin biopsy is safe after the whole lesion is taken?

Yes: Likely the initial biopsy showed something worrisome that required your dermatologist to perform an excision to ensure the entire lesion is removed. ...Read more

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If they didn't find anything wrong, should I ask for an excisional biopsy on these nodes?

If they didn't find anything wrong, should I ask for an excisional biopsy on these nodes?

No: I am betting that you are asking about enlarged lymph nodes. Cancer in nodes is obviously very abnormal. If the nodes are simply palpable and maybe a bit tender, leave them alone. ...Read more

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What is the definition or description of: cervical biopsy using loop electrosurgical excision procedure?

What is the definition or description of: cervical biopsy using loop electrosurgical excision procedure?

LEEP: The loop electrosurgical excision procedure (leep) is currently one of the most commonly used approaches to treat high grade cervical dysplasia (cin ii/iii, hgsil) discovered on colposcopic ...Read more

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How bad is pain from a surgical excisional biopsy?

Not bad: Your surgeon and anesthesiologist will suggest a regimen which usually means that this operation is well-tolerated without significant pain. ...Read more

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Do I need to rest after having an excisional biopsy?

Do I need to rest after having an excisional biopsy?

Depends: What was excised? How much tissue was removed? Was it under local anesthesia or general? You only need to rest as much or as little as you are comfortable with. A small excisional biopsy of a skin lesion, under local anesthesia would not require any rest. ...Read more

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Need to pain relief after having an excisional biopsy?

Excisional biopsy: Any acute pain can easily be treated if its bad enough for you. It also depends on where the biopsy was done. Your surgeon is usually responsible for the acute pain related to the biopsy. If that fails try your pcp or a pain specialist. ...Read more

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Would I get an excisional biopsy for my small fibroadenoma?

Would I get an excisional biopsy for my small fibroadenoma?

Usually unnecessary : Nonsurgical needle biopsy is the standard for diagnosing mammographic abnormalities. Once the benign diagnosis is established, it is usually unnecessary to surgically remove a benign fibroadenoma. However, if it is followed and growing, excision is often recommended to prevent further growth and exclude rare "locally aggressive" fibroadenoma-variants called phyllodes tumors. ...Read more

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What is lymph node excisional biopsy?

Sample lymph node: A surgeon cuts out the entire lymph node for pathological and sometimes microbiological examination. ...Read more

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Would excisional biopsy of a lymph node spread cancer?

Would excisional biopsy of a lymph node spread cancer?

No.: An excisional biopsy of a lymph node should not result in spreading of the malignancy. ...Read more

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Will an excision biopsy leave my breast looking disfigured? Area is small and 1.5 mm from skin.

Will an excision biopsy leave my breast looking disfigured? Area is small and 1.5 mm from skin.

The real questions: Forgive my frankness. The only things on your mind right now should be, 'do I have cancer? If it is not diagnosed and it kills me, how will the people who love me be affected?' you're an adult. I can't promise you that you won't notice where you've had the surgery. I doubt anyone else will be aware of anything. A man who'd care (and I've never met such a man) isn't worth keeping. Now be brave. ...Read more

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I had a shave biopsy on a mole and my dermatologist told me that I need an excision biopsy. Why?

Malignant potential: Depending on what the pathology report showed your doctor wants to remove all the mole not just the surface. It is possible that is looked like it could be a skin cancer that is something you MUST discuss with your doctor and have the rest of the mole removed. ...Read more

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After lymph node excisional biopsy will my lymph node chain reconnect by itself? Or will it always be disconnected

After lymph node excisional biopsy will my lymph node chain reconnect by itself? Or will it always be disconnected

Still connected: Surgical removal of a lymph node fortunately doesn't disrupt the whole system. If you have major surgery such as mastectomy, that can disrupt your lymphatic system seriously and cause severe swelling. ...Read more

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What are your thoughts of using colloidal silver before having an excisional neck biopsy? Can it be used before or after surgery?

What are your thoughts of using colloidal silver before having an excisional neck biopsy? Can it be used before or after surgery?

Colloidal silver: Is of no proven clinical benefit. Safety concerns about the accumulation of silver. I do not know of any clinical need for it ...Read more

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Excisional breast biopsy — what can I expect?

Excisional breast biopsy — what can I expect?

Need to wait: It is not feasible to say what the result will be. Most breast lumps are not cancer, but you need to wait for the report from the pathologist to know for sure. ...Read more

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How long do I need to recover from excisional biopsy of the breast?

How long do I need to recover from excisional biopsy of the breast?

Not much time: Depending on the size, in most cases you should be able to recover within 24 to 48 hours after the procedure. ...Read more

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How long will I need to recover from an excisional biopsy of the breast?

Less than 1 week.: Surgical removal of a breast lump is an out-patient procedure that can usually be done under twilight anesthesia. Most people don't require narcotic pain medication and can return to normal activities within one week. ...Read more

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Submandibular node 21mm x 7mm. Excisional biopsy shows follicular hyperplasia sinus histocyctosis. After a month another node 13mm x 6mm discovered.

Submandibular node 21mm x 7mm. Excisional biopsy shows follicular hyperplasia sinus histocyctosis. After a month another node 13mm x 6mm discovered.

Good for you: That first lymph node is totally benign. It was working for you and was yor friend. Talk about "sinus histiocytosis " suggesting cancer is misleading especially if there is no visible lesion. Why not leave the new one, which took the place of the other, alone. ...Read more

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Should I have an excisional biopsy because doctor thinks it could be melanoma?

Should I have an excisional biopsy because doctor thinks it could be melanoma?

Probably: If the lesion is a non-melanomatous skin cancer, complete excision will be curative, while if its melanoma he'll need to do a wider excision and possibly a lymph node dissection, depending on the site. So unless there is some cosmetic contraindication I see nothing to lose with the excisional biopsy. ...Read more

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I recently had an excisional breast biopsy. What might I look for as far as symptoms of infection?

I recently had an excisional breast biopsy. What might I look for as far as symptoms of infection?

Red, swollen, pain : An infection in the wound manifests with redness, tenderness, swelling and sometimes with drainage of pus. In more severe cases you may develop fever, malaise and other systemic symptoms. Some swelling, bruising and pain after surgery is expected and is not necessarily abnormal. If you have any concerns, it is best to see your surgeon to be checked. ...Read more

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Fna of enlarged cervical node showed atypical cells. Dr. Wants excisional biopsy. What are the chances that this is cancer?

Fna of enlarged cervical node showed atypical cells. Dr. Wants excisional biopsy. What are the chances that this is cancer?

Good chance: Fine needle aspiration (fna) shows atypical cells, means, there is a good chance it could malignant, only way to prove or disprove is by removing the entire node for biopsy for the final diagnosis. ...Read more

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Is a fine needle or excisional biopsy better to diagnose lymphoma?

Is a fine needle or excisional biopsy better to diagnose lymphoma?

Excisional: Excisional biopsy is more accurate for diagnosis of lymphoma, because the samples are much larger. Fine needle aspiration (fna) can make the diagnosis, and is much less invasive — however, the sample is much smaller, and can miss the involved portion of the lymph node. ...Read more

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2cm rt jd node excisional biopsy: "many cells present, unable to identify." ongoing sx, several 1cm painless neck nodes, unilat face/neck puffy/full.

2cm rt jd node excisional biopsy: "many cells present, unable to identify." ongoing sx, several 1cm painless neck nodes, unilat face/neck puffy/full.

More info. needed,,,: You seem to have many nodes involved with something, and your puffy face can mean that you have a swelling issue that likey has backed up your lymph drainage there. But the biopsy report, and the underlying illness is too vague to know what this can be. It might be infection, an auto-immune preocess, or something else, but a visit to the doctor especially head and neck is needed to find out. ...Read more