Incisional Biopsy: Procedure, Indications, and Diagnostic Value
Incisional Biopsy
An incisional biopsy involves using a scalpel to remove a wedge-shaped sample from a larger lesion for histopathological examination.
Key Features
- Samples a portion of the lesion (vs. excisional biopsy which removes it entirely).
- Provides full-thickness tissue including epidermis, dermis, and subcutaneous fat.
- Allows assessment of architecture, invasion depth, and tumor margins.
Indications
- Large lesions where complete excision is impractical initially.
- Suspected malignancy requiring diagnosis before definitive surgery.
- Inflammatory or infectious conditions needing tissue culture/histology.
Advantage
Yields more diagnostic information than punch or shave biopsies, reducing sampling error.
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