BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuBone lesion biopsyBone biopsy; Biopsy - boneA bone lesion biopsy is the removal of a piece of bone or bone marrow for examination. How the Test is Performed The test is done in the following way:An x-ray, CT or MRI scan is likely used to guide the exact placement of the biopsy instrument. The health care provider applies a numbing medicine (local anesthetic) to the area. A small cut is then made in the skin. A special drill needle is often used. This needle is gently inserted through the cut, then pushed and twisted into the bone. Once the sample is obtained, the needle is twisted out. Pressure is applied to the site. Once bleeding stops, stitches are applied, and covered with a bandage. The sample is sent to a lab for examination.Bone biopsy may also be done under general anesthesia to remove a larger sample. Then surgery to remove the bone can be done if the biopsy exam shows that there is an abnormal growth or cancer. How to Prepare for the Test Follow your health care provider's instructions on how to prepare. This may include not eating and drinking for several hours before the procedure. If you take any blood thinners, please make sure you stop them ahead of the procedure. How the Test will Feel With a needle biopsy, you may feel some discomfort and pressure, even though a local anesthetic is used. You must remain still during the procedure.After the biopsy, the area may be sore or tender for several days. Why the Test is Performed The most common reasons for bone lesion biopsy are to tell the difference between cancerous and noncancerous bone tumors and to identify other bone or bone marrow problems. It may be performed on people with bone pain and tenderness, particularly if x-ray, CT scan, or other testing reveals a problem.Bone painBone pain or tenderness is aching or other discomfort in one or more bones.ImageRead Article Now Book Mark Article x-rayX-rays are a type of electromagnetic radiation, just like visible light. An x-ray machine sends individual x-ray waves through the body. The images...ImageRead Article Now Book Mark Article CTA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...ImageRead Article Now Book Mark Article Normal Results No abnormal bone tissue is found. What Abnormal Results Mean An abnormal result may be any of the following problems.Benign (noncancerous) bone tumors, such as:Bone cyst CystA cyst is a closed pocket or pouch of tissue. It can be filled with air, fluid, pus, or other material.Read Article Now Book Mark Article Fibroma Osteoblastoma OsteoblastomaA bone tumor is an abnormal growth of cells within a bone. A bone tumor may be cancerous (malignant) or noncancerous (benign).ImageRead Article Now Book Mark Article Osteoid osteomaOsteoid osteomaA bone tumor is an abnormal growth of cells within a bone. A bone tumor may be cancerous (malignant) or noncancerous (benign).ImageRead Article Now Book Mark Article Cancerous tumors, such as:Ewing sarcoma Ewing sarcomaEwing sarcoma is a malignant bone tumor that forms in the bone or soft tissue around it. It affects mostly teens and young adults.ImageRead Article Now Book Mark Article Multiple myeloma Multiple myelomaMultiple myeloma is a blood cancer that starts in the plasma cells in the bone marrow. Bone marrow is the soft, spongy tissue found inside most bone...ImageRead Article Now Book Mark Article Osteosarcoma OsteosarcomaOsteosarcoma is a very rare type of cancerous bone tumor that usually develops in teenagers and young adults. It often occurs when a teen is growing...ImageRead Article Now Book Mark Article Other types of cancer that may have spread to the bone Abnormal results may also be due to:Osteitis fibrosa (weak and deformed bone) Osteitis fibrosaOsteitis fibrosa is a complication of hyperparathyroidism, a condition in which overactive parathyroid glands cause certain bones to become abnormall...ImageRead Article Now Book Mark Article Osteomalacia (softening of the bones) OsteomalaciaOsteomalacia is softening of the bones. It most often occurs because of a problem with vitamin D, which helps your body absorb calcium. Your body n...ImageRead Article Now Book Mark Article Osteomyelitis (bone infection) OsteomyelitisOsteomyelitis is a bone infection. It is caused by bacteria or other germs.ImageRead Article Now Book Mark Article Bone marrow disorders (leukemia or lymphoma) Risks Risks of this procedure may include:Bone fracture Bone infection (osteomyelitis) Damage to surrounding tissue Discomfort Excessive bleeding Infection near the biopsy areaA serious risk of this procedure is bone infection. Signs include:Fever Chills Worsening pain Redness and swelling of around the biopsy site Drainage of pus from the biopsy siteIf you have any of these signs, contact your provider right away.People with bone disorders who also have blood clotting disorders may have an increased risk of bleeding.Open ReferencesReferencesKatsanos K, Sabharwal T, Cazzato RL, Gangi A. Skeletal interventions. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 87.Schwartz HS, Holt GE, Halpern JL. Bone tumors. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Philadelphia, PA: Elsevier; 2022:chap 33.Schwartz HS, Holt GE, Halpern JL. Interventional radiologic techniques in management of bone tumors. In: Heymann D, ed. Bone Cancer. 3rd ed. Philadelphia, PA: Elsevier; 2022:chap 33.AllVideoImagesTogBone biopsy - illustration A bone biopsy is performed by making a small incision into the skin. A biopsy needle retrieves a sample of bone and it is sent for examination. The most common reasons for bone lesion biopsy are to distinguish between benign and malignant bone tumors, and to identify other bone abnormalities. Bone biopsy may also be performed to determine the cause of bone pain and tenderness.Bone biopsyillustrationBone biopsy - illustration A bone biopsy is performed by making a small incision into the skin. A biopsy needle retrieves a sample of bone and it is sent for examination. The most common reasons for bone lesion biopsy are to distinguish between benign and malignant bone tumors, and to identify other bone abnormalities. Bone biopsy may also be performed to determine the cause of bone pain and tenderness.Bone biopsyillustration Tests for Bone lesion biopsy Bone lesion biopsyRelated Information Benign(Special Topic)Bone tumor(Condition)Bone pain or tenderness(Symptoms)X-ray(Medical Test)CT scan(Medical Test)Cyst(Symptoms)Multiple myeloma(Condition)Osteosarcoma(Condition)Ewing sarcoma(Condition)Osteomalacia(Condition) Review Date: 9/20/2022 Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited. © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.
Bone lesion biopsyBone biopsy; Biopsy - boneA bone lesion biopsy is the removal of a piece of bone or bone marrow for examination. How the Test is Performed The test is done in the following way:An x-ray, CT or MRI scan is likely used to guide the exact placement of the biopsy instrument. The health care provider applies a numbing medicine (local anesthetic) to the area. A small cut is then made in the skin. A special drill needle is often used. This needle is gently inserted through the cut, then pushed and twisted into the bone. Once the sample is obtained, the needle is twisted out. Pressure is applied to the site. Once bleeding stops, stitches are applied, and covered with a bandage. The sample is sent to a lab for examination.Bone biopsy may also be done under general anesthesia to remove a larger sample. Then surgery to remove the bone can be done if the biopsy exam shows that there is an abnormal growth or cancer. How to Prepare for the Test Follow your health care provider's instructions on how to prepare. This may include not eating and drinking for several hours before the procedure. If you take any blood thinners, please make sure you stop them ahead of the procedure. How the Test will Feel With a needle biopsy, you may feel some discomfort and pressure, even though a local anesthetic is used. You must remain still during the procedure.After the biopsy, the area may be sore or tender for several days. Why the Test is Performed The most common reasons for bone lesion biopsy are to tell the difference between cancerous and noncancerous bone tumors and to identify other bone or bone marrow problems. It may be performed on people with bone pain and tenderness, particularly if x-ray, CT scan, or other testing reveals a problem.Bone painBone pain or tenderness is aching or other discomfort in one or more bones.ImageRead Article Now Book Mark Article x-rayX-rays are a type of electromagnetic radiation, just like visible light. An x-ray machine sends individual x-ray waves through the body. The images...ImageRead Article Now Book Mark Article CTA computed tomography (CT) scan is an imaging method that uses x-rays to create pictures of cross-sections of the body. Related tests include:Abdomin...ImageRead Article Now Book Mark Article Normal Results No abnormal bone tissue is found. What Abnormal Results Mean An abnormal result may be any of the following problems.Benign (noncancerous) bone tumors, such as:Bone cyst CystA cyst is a closed pocket or pouch of tissue. It can be filled with air, fluid, pus, or other material.Read Article Now Book Mark Article Fibroma Osteoblastoma OsteoblastomaA bone tumor is an abnormal growth of cells within a bone. A bone tumor may be cancerous (malignant) or noncancerous (benign).ImageRead Article Now Book Mark Article Osteoid osteomaOsteoid osteomaA bone tumor is an abnormal growth of cells within a bone. A bone tumor may be cancerous (malignant) or noncancerous (benign).ImageRead Article Now Book Mark Article Cancerous tumors, such as:Ewing sarcoma Ewing sarcomaEwing sarcoma is a malignant bone tumor that forms in the bone or soft tissue around it. It affects mostly teens and young adults.ImageRead Article Now Book Mark Article Multiple myeloma Multiple myelomaMultiple myeloma is a blood cancer that starts in the plasma cells in the bone marrow. Bone marrow is the soft, spongy tissue found inside most bone...ImageRead Article Now Book Mark Article Osteosarcoma OsteosarcomaOsteosarcoma is a very rare type of cancerous bone tumor that usually develops in teenagers and young adults. It often occurs when a teen is growing...ImageRead Article Now Book Mark Article Other types of cancer that may have spread to the bone Abnormal results may also be due to:Osteitis fibrosa (weak and deformed bone) Osteitis fibrosaOsteitis fibrosa is a complication of hyperparathyroidism, a condition in which overactive parathyroid glands cause certain bones to become abnormall...ImageRead Article Now Book Mark Article Osteomalacia (softening of the bones) OsteomalaciaOsteomalacia is softening of the bones. It most often occurs because of a problem with vitamin D, which helps your body absorb calcium. Your body n...ImageRead Article Now Book Mark Article Osteomyelitis (bone infection) OsteomyelitisOsteomyelitis is a bone infection. It is caused by bacteria or other germs.ImageRead Article Now Book Mark Article Bone marrow disorders (leukemia or lymphoma) Risks Risks of this procedure may include:Bone fracture Bone infection (osteomyelitis) Damage to surrounding tissue Discomfort Excessive bleeding Infection near the biopsy areaA serious risk of this procedure is bone infection. Signs include:Fever Chills Worsening pain Redness and swelling of around the biopsy site Drainage of pus from the biopsy siteIf you have any of these signs, contact your provider right away.People with bone disorders who also have blood clotting disorders may have an increased risk of bleeding.Open ReferencesReferencesKatsanos K, Sabharwal T, Cazzato RL, Gangi A. Skeletal interventions. In: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. Grainger & Allison's Diagnostic Radiology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 87.Schwartz HS, Holt GE, Halpern JL. Bone tumors. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. Philadelphia, PA: Elsevier; 2022:chap 33.Schwartz HS, Holt GE, Halpern JL. Interventional radiologic techniques in management of bone tumors. In: Heymann D, ed. Bone Cancer. 3rd ed. Philadelphia, PA: Elsevier; 2022:chap 33.