Excisional Biopsy
Excisional Biopsy
Excisional Biopsy in surat: Purpose, Benefits, Procedure.

What is Excisional Biopsy?
An excisional biopsy is a surgical procedure where an entire lesion or abnormal tissue, along with a small margin of surrounding healthy tissue, is removed for diagnostic purposes. It is a comprehensive method to assess oral or maxillofacial abnormalities, often used to confirm or rule out oral cancer or other serious conditions.
When is it Recommended or Done?
Excisional biopsy is recommended when:
- The lesion is small and can be completely removed in one procedure.
- The nature of the lesion is uncertain and requires a thorough evaluation.
- There are concerns about oral cancer or precancerous growths.
- The lesion causes persistent pain, swelling, or bleeding.
How does this treatment work?
1. Preparation: The area is numbed with local anaesthesia to ensure a pain-free experience.
2. Procedure: The oral surgeon excises the entire lesion, including a margin of healthy tissue to ensure complete removal.
3. Analysis: The tissue is sent to a pathology lab for detailed examination under a microscope to identify abnormal or cancerous cells.
How long does this treatment take?
The procedure generally lasts 30 to 60 minutes, depending on the size and location of the lesion.
Risks / Benefits of Excisional Biopsy
Benefits:
- Complete removal of the lesion for accurate diagnosis.
- May prevent the need for additional procedures if the lesion is benign.
- Provides peace of mind with a definitive diagnosis.
Risks:
- Mild bleeding, swelling, or pain at the biopsy site.
- Risk of infection or delayed healing.
- Potential scarring, depending on the lesion’s location.
Difference Between Excisional and Incisional Biopsy
The key difference lies in the scope of tissue removal:
- Excisional Biopsy: Removes the entire lesion along with a margin of healthy tissue.
- Incisional Biopsy: Only a portion of the lesion is removed for diagnostic purposes.
- Excisional biopsy is preferred for smaller lesions, while incisional biopsy is more suitable for larger or complex lesions.
Post-Treatment Care
- Keep the biopsy site clean and avoid touching it.
- Stick to soft foods and avoid hot or spicy items for a few days.
- Take prescribed medications to manage pain and prevent infection.
- Attend follow-up appointments to discuss biopsy results.
When to Consult a Doctor?
Consult an oral surgeon in Surat if you notice:
- Persistent swelling or growth in your oral cavity.
- Pain or discomfort that does not subside.
- Lesions or ulcers that do not heal within two weeks.
Accurate diagnosis by a trusted oral surgeon or maxillofacial surgeon in Surat can provide the clarity you need.
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FAQ
Which is better, excisional or incisional biopsy?
It depends on the situation. Excisional biopsy is better for small lesions that can be entirely removed, while incisional biopsy is preferred for larger or complex lesions requiring a sample for diagnosis.
Is an excisional biopsy painful?
No, it’s not painful as local anaesthesia is used during the procedure. Some mild discomfort may occur during recovery.
How long does it take for an excision biopsy to heal?
Healing usually takes 1-2 weeks, but it may take longer for larger or deeper biopsies.
What is the purpose of a biopsy?
The purpose of a biopsy is to collect tissue samples for examination, helping to diagnose or rule out conditions like cancer, infections, or inflammatory diseases.
What is the cost of an excision biopsy?
The cost of an excision biopsy ranges from ₹5,000 to ₹15,000, depending on the complexity and location of the procedure.
Is a biopsy painful without anaesthesia?
Yes, a biopsy can be painful without anaesthesia, but local or general anaesthesia is typically used to ensure a pain-free experience.
How much does a biopsy cost?
The cost of a biopsy varies between ₹2,000 and ₹15,000 based on the type of biopsy and location.
Which biopsy is best?
The best biopsy type depends on the lesion’s size, location, and purpose. Excisional biopsy is best for small, suspicious lesions, while incisional biopsy is ideal for large or inaccessible ones.
Does excisional biopsy leave a scar?
Yes, an excisional biopsy may leave a small scar, but its size and visibility depend on the lesion’s location and the surgeon’s skill.
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