Polyp biopsy
A polyp biopsy is a test that takes a sample of, or removes polyps (abnormal growths) for examination.
Biopsy
A biopsy is the removal of a small piece of tissue for laboratory examination.
Read Article Now Book Mark ArticleHow the Test is Performed
Polyps are growths of tissue that may be attached by a stalk-like structure (a pedicle). Polyps are commonly found in organs with many blood vessels. Such organs include the uterus, colon, stomach, and nose.
Pedicle
A pedicle is a stem or stalk of tissue that connects parts of the body to each other. The brain has many pedicles (such as the cerebral pedicle) tha...
Read Article Now Book Mark ArticleUterus
The endometrium is the lining of the inside of the womb (uterus). Overgrowth of this lining can create polyps. Polyps are fingerlike growths that a...
Read Article Now Book Mark ArticleColon
A colorectal polyp is a growth on the lining of the colon or rectum.
Read Article Now Book Mark ArticleNose
Nasal polyps are soft, sac-like growths on the lining of the nose or sinuses.
Read Article Now Book Mark ArticleSome polyps are cancerous (malignant) and the cancer cells are likely to spread. Most polyps are noncancerous (benign). The most common site of polyps that are precancerous and are treated is the colon.
How a polyp biopsy is done depends on the location:
- Colonoscopy or flexible sigmoidoscopy examines the large bowel
Colonoscopy
A colonoscopy is an exam that views the inside of the colon (large intestine) and rectum, using a tool called a colonoscope. The colonoscope has a sm...
Read Article Now Book Mark Article - Colposcopy-directed biopsy examines the vagina and cervix
Colposcopy-directed biopsy
A colposcopy is a special way of looking at the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina. Abno...
Read Article Now Book Mark Article - Esophagogastroduodenoscopy (EGD) or other endoscopy is used for the throat, stomach, and small bowel
Esophagogastroduodenoscopy
Esophagogastroduodenoscopy (EGD) is a test to examine the lining of the esophagus, stomach, and first part of the small intestine (the duodenum)....
Read Article Now Book Mark ArticleEndoscopy
Endoscopy is a way of looking inside the body using a flexible tube that has a small camera and light on the end of it. This instrument is called an...
Read Article Now Book Mark Article - Laryngoscopy is used for the nose and throat
For areas of the body that can be seen or where the polyp can be felt, a numbing medicine is applied to the skin. Then a small piece of the tissue that appears to be abnormal is removed. This tissue is sent to a laboratory. There, it is tested to see if it is cancerous.
How to Prepare for the Test
If the biopsy is in the nose or another surface that is open or can be seen, no special preparation is needed. Your health care provider will tell you if you need to not eat or drink anything (fast) before the biopsy.
More preparation is needed for biopsies inside the body. For example, if you have a biopsy of the stomach, you should not eat anything for several hours before the procedure. If you are having a colonoscopy, drinking a solution to clean your bowels is needed before the procedure.
Follow your provider's preparation instructions exactly.
How the Test will Feel
Numbing medicine is given locally before removing polyps on the surface of the skin. You may feel tugging while the biopsy sample is being taken. After the numbing medicine wears off, the area may be sore for a few days.
Biopsies of polyps inside the body are done during procedures such as EGD or colonoscopy. Usually, you will not feel anything during or after the biopsy.
Why the Test is Performed
The test is done to determine if the growth is cancerous (malignant). The procedure may also be done to relieve symptoms, such as with the removal of nasal polyps.
Normal Results
Examination of the biopsy sample shows the polyp to be benign (not cancerous).
What Abnormal Results Mean
Cancer cells are present. This may be a sign of a cancerous tumor. Further tests may be needed. Often, the polyp may need more treatment. This is to ensure it is completely removed.
Tumor
A tumor is an abnormal growth of body tissue. Tumors can be cancerous (malignant) or noncancerous (benign).
Read Article Now Book Mark ArticleRisks
Risks include:
- Bleeding
- Hole (perforation) in the organ from which the polyp was removed
- Infection
Reviewed By
Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Bachert C, Zhang N, Gevaert P. Rhinosinusitis and nasal polyps. In: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Principles and Practice. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 41.
Pohl H, Draganov P, Soetikno R, Kaltenbach T. Colonoscopic polypectomy, mucosal resection, and submucosal dissection. In: Chandrasekhara V, Elmunzer BJ, Khashab MA, Muthusamy VR, eds. Clinical Gastrointestinal Endoscopy. 3rd ed. Philadelphia, PA: Elsevier; 2019:chap 37.
Raymond L, Lentz GM. Endoscopy in minimally invasive gynecologic surgery. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 10.
Samlan RA, Kunduk M. Visual documentation of the larynx. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 54.