LO IV

BIOPSY

Biopsy
Derived from the Latin is bios: life and options:
display.
So in general biopsy is the removal of a
number of body tissues which will then be
sent to a laboratory for examination.
Pathological examination is also helpful not
only diagnosis and treatment plan, but also to
determine the prognosis.

 iopsy mostly dlakukan to determine the

presence of cancer.
Investigations such as X-ray, CT scan or
ultrasound may be done in advance to
allocate areas biopsy.

Biopsy Examination Type

Examination of macroscopic
An examination with the naked eye to assess /
predict a tumor tissue is malignant or benign. such
as shape, size, color, surface.
Microscopic examination
A neoplastic growth especially early malignancy can
not be diagnosed based on clinical observation
alone, because there are no definite criteria for
determining benign and fierce.

Type Biopsy
Biopsy is divided into:
Biopsy closed: Without opening the skin, can
be done by non-surgical disciplines
Open biopsy: By opening the skin / mucosa,
usually done by a surgical discipline, and will
get a more representative specimens

 Closed biopsy: Materials little / less

representative, can be enhanced by open
biopsy, Example: FNAB, core biopsy, sputum
fluid-cyste-blood-ascites, and Endoscopy.
Open biopsy: Usually done by surgical
disciplines, with open skin / mucosa,
examination is done: histo-pathology, and
stuff: incisional biopsy, excisional biopsy.

Biopsy Incisional
Namely tissue sampling through cutting with a
scalpel.
With a scalpel, cut the skin to find the mass
and taken a bit to be checked.

Biopsy Needle
Is a sampling of tissue or fluid with a needle
through the vacuuming.
Usually this is done with local anesthesia (only
the area around the needle).
Can be done directly or assisted by radiology
such as CT scan or ultrasound to guide the
needle to reach the masses or create a desired
location

Biopsy Excisional
That is suspected of taking the whole mass
with surrounding healthy tissue. This method
is performed under general or local anesthesia
depending on the location of the mass and is
usually done when a small tumor mass and no
metastases.

Core Biosy
Core biopsy is a procedure in which a needle is
passed through the skin to take a sample of
tissue from a mass or lump. The tissue is then
examined under a microscope for any
abnormalities.
Core biopsy may be performed when a
suspicious lump is found, such as a breast
lump or an enlarged lymph node, or if an
abnormality is detected on imaging tests such
as x-ray, ultrasound or mammography.

Punch Biopsy
This biopsy is usually performed on skin
disorders.
This method is done with a tool like a pencil
size is then focused on abnormalities in the
skin, then a sharp instrument in it will take a
tissue pressed.
Using a local anesthetic and if the skin is not a
big decision so do not need stitches.