Biopsy
Tissue samplingA biopsy is the removal of a small piece of tissue for laboratory examination.
Biopsy catheter
When a small piece of heart muscle tissue is needed for examination, a heart biopsy can be performed. A catheter is carefully threaded into an artery or vein to gain access into the heart. A bioptome (catheter with jaws in its tip) is then introduced. Once the bioptome is in place, three to five small pieces of tissue from the heart muscle are removed. The test is performed routinely after heart transplantation to detect potential rejection. It may also be performed when cardiomyopathy, myocarditis, cardiac amyloidosis, or other disorders are suspected.
Biopsy catheter
illustration
Needle biopsy of the breast
A needle biopsy is performed under local anesthesia. Simple aspirations are performed with a small gauge needle to attempt to draw fluid from lumps that are thought to be cysts. Fine needle biopsy uses a larger needle to make multiple passes through a lump, drawing out tissue and fluid. Withdrawn fluid and tissue is further evaluated to determine if there are cancerous cells present.
Needle biopsy of the breast
illustration
Open biopsy of the breast
An open biopsy can be performed under local or general anesthesia and will leave a small scar. Prior to surgery, a radiologist often first marks the lump with a wire, making it easier for the surgeon to find.
Open biopsy of the breast
illustration
Sentinel node biopsy
Sentinel node biopsy is a technique which helps determine if a cancer has spread (metastasized), or is contained locally. When a cancer has been detected, often the next step is to find the lymph node closest to the tumor site and retrieve it for analysis. The concept of the "sentinel" node, or the first node to drain the area of the cancer, allows a more accurate staging of the cancer, and leaves unaffected nodes behind to continue the important job of draining fluids. The procedure involves the injection of a dye (sometimes mildly radioactive) to pinpoint the lymph node which is closest to the cancer site. Sentinel node biopsy is used to stage many kinds of cancer, including lung and skin (melanoma).
Sentinel node biopsy
illustration
Mucosal biopsy
Mucosal skin biopsy is the removal of a small piece of skin or mucous membrane. The sample can be retrieved in several ways: a shave biopsy (scraping or shaving a thin layer), a punch biopsy (using a needle or punch to obtain a small, but deeper, sample), or an excision of tissue (cutting to remove a piece of tissue). The sample is sent to the laboratory to isolate and identify organisms that cause infection.
Mucosal biopsy
illustration
Incision for pleural tissue biopsy
In an open pleural biopsy, a small piece of the pleural tissue is removed through a surgical incision in the chest. After the sample is obtained, a chest tube is placed and the incision is closed with stitches. Abnormal results may indicate tuberculosis, abnormal growths, viral, fungal, and parasitic diseases.
Incision for pleural tissue biopsy
illustration
Testicular biopsy
Testicular biopsy is a procedure in which a small portion of testicle is removed for examination. The biopsy is performed by creating a small incision in the skin of the scrotum. A small piece of the testicle tissue is removed through the incision by snipping the sample off with small scissors. The test is usually performed when a semen analysis suggests that there is abnormal sperm, and other tests have not determined the cause. It may also be performed when testicular self-examination has revealed a lump.
Testicular biopsy
illustration
Rectal biopsy
Rectal biopsy can be used to determine the cause of blood, mucus, or pus in the stool. Rectal biopsy can also confirm findings of another test or x-rays, or take a biopsy of a growth found in the colon.
Rectal biopsy
illustration
Nasal biopsy
A nasal biopsy is a diagnostic procedure in which a small piece of tissue is removed from the mucosal lining of the nose. The biopsy is most often performed when abnormal tissue is observed during an examination of the nose, or when disorders affecting the nasal mucosal tissue are suspected.
Nasal biopsy
illustration
Pleural biopsy
In a pleural biopsy, a small piece of pleural tissue in the chest is removed with a needle. The biopsy may distinguish between a cancerous and noncancerous disease. It also can help to detect whether a viral, fungal or parasitic disease is present.
Pleural biopsy
illustration
Biopsy catheter
When a small piece of heart muscle tissue is needed for examination, a heart biopsy can be performed. A catheter is carefully threaded into an artery or vein to gain access into the heart. A bioptome (catheter with jaws in its tip) is then introduced. Once the bioptome is in place, three to five small pieces of tissue from the heart muscle are removed. The test is performed routinely after heart transplantation to detect potential rejection. It may also be performed when cardiomyopathy, myocarditis, cardiac amyloidosis, or other disorders are suspected.
Biopsy catheter
illustration
Needle biopsy of the breast
A needle biopsy is performed under local anesthesia. Simple aspirations are performed with a small gauge needle to attempt to draw fluid from lumps that are thought to be cysts. Fine needle biopsy uses a larger needle to make multiple passes through a lump, drawing out tissue and fluid. Withdrawn fluid and tissue is further evaluated to determine if there are cancerous cells present.
Needle biopsy of the breast
illustration
Open biopsy of the breast
An open biopsy can be performed under local or general anesthesia and will leave a small scar. Prior to surgery, a radiologist often first marks the lump with a wire, making it easier for the surgeon to find.
Open biopsy of the breast
illustration
Sentinel node biopsy
Sentinel node biopsy is a technique which helps determine if a cancer has spread (metastasized), or is contained locally. When a cancer has been detected, often the next step is to find the lymph node closest to the tumor site and retrieve it for analysis. The concept of the "sentinel" node, or the first node to drain the area of the cancer, allows a more accurate staging of the cancer, and leaves unaffected nodes behind to continue the important job of draining fluids. The procedure involves the injection of a dye (sometimes mildly radioactive) to pinpoint the lymph node which is closest to the cancer site. Sentinel node biopsy is used to stage many kinds of cancer, including lung and skin (melanoma).
Sentinel node biopsy
illustration
Mucosal biopsy
Mucosal skin biopsy is the removal of a small piece of skin or mucous membrane. The sample can be retrieved in several ways: a shave biopsy (scraping or shaving a thin layer), a punch biopsy (using a needle or punch to obtain a small, but deeper, sample), or an excision of tissue (cutting to remove a piece of tissue). The sample is sent to the laboratory to isolate and identify organisms that cause infection.
Mucosal biopsy
illustration
Incision for pleural tissue biopsy
In an open pleural biopsy, a small piece of the pleural tissue is removed through a surgical incision in the chest. After the sample is obtained, a chest tube is placed and the incision is closed with stitches. Abnormal results may indicate tuberculosis, abnormal growths, viral, fungal, and parasitic diseases.
Incision for pleural tissue biopsy
illustration
Testicular biopsy
Testicular biopsy is a procedure in which a small portion of testicle is removed for examination. The biopsy is performed by creating a small incision in the skin of the scrotum. A small piece of the testicle tissue is removed through the incision by snipping the sample off with small scissors. The test is usually performed when a semen analysis suggests that there is abnormal sperm, and other tests have not determined the cause. It may also be performed when testicular self-examination has revealed a lump.
Testicular biopsy
illustration
Rectal biopsy
Rectal biopsy can be used to determine the cause of blood, mucus, or pus in the stool. Rectal biopsy can also confirm findings of another test or x-rays, or take a biopsy of a growth found in the colon.
Rectal biopsy
illustration
Nasal biopsy
A nasal biopsy is a diagnostic procedure in which a small piece of tissue is removed from the mucosal lining of the nose. The biopsy is most often performed when abnormal tissue is observed during an examination of the nose, or when disorders affecting the nasal mucosal tissue are suspected.
Nasal biopsy
illustration
Pleural biopsy
In a pleural biopsy, a small piece of pleural tissue in the chest is removed with a needle. The biopsy may distinguish between a cancerous and noncancerous disease. It also can help to detect whether a viral, fungal or parasitic disease is present.
Pleural biopsy
illustration
Biopsy
Tissue samplingA biopsy is the removal of a small piece of tissue for laboratory examination.
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Biopsy
Tissue samplingA biopsy is the removal of a small piece of tissue for laboratory examination.
Review Date: 9/3/2018
Reviewed By: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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