Punch Biopsy
Punch Biopsy
What is Punch Biopsy?
A punch biopsy is a minimally invasive procedure that uses a specialized circular blade to remove a small, round section of tissue for diagnostic evaluation. This technique is particularly effective for diagnosing lesions, abnormal growths, or suspicious areas in the skin or oral cavity. A punch biopsy is an essential tool for identifying conditions like oral cancer, infections, or inflammatory disorders, and it offers a precise way to gather tissue samples with minimal discomfort.

When is it Recommended or Done?
Punch biopsy is recommended in cases such as:
- Diagnosis of localised lesions: It is ideal for small, well-defined abnormal areas in the oral or maxillofacial regions.
- Suspected oral cancer or precancerous conditions: It aids in early detection and accurate diagnosis.
- Evaluation of inflammatory or infectious conditions: It helps determine the underlying cause of persistent or unexplained lesions.
- Persistent ulcers or abnormal tissue changes: When other diagnostic methods are inconclusive, a punch biopsy can provide clarity.
How Does This Treatment Work?
The procedure is straightforward and performed by an experienced oral surgeon in Surat or a maxillofacial surgeon:
- Preparation: The area to be biopsied is thoroughly cleaned and numbed using a local anesthetic to ensure the patient’s comfort.
- Tissue Extraction: A circular blade, resembling a tiny cookie cutter, is pressed into the lesion to extract a small, cylindrical tissue sample.
- Tissue Analysis: The extracted sample is sent to a pathology laboratory for microscopic examination to identify abnormalities.
This procedure is quick, minimally invasive, and highly effective in obtaining tissue for a definitive diagnosis.
How Long Does This Treatment Take?
The entire procedure usually takes 10 to 20 minutes, making it convenient for patients with busy schedules.
Risks / Benefits of Incisional Biopsy
Benefits:
- Minimally invasive: Causes minimal tissue disruption.
- Quick and precise: Provides accurate diagnostic results with little discomfort.
- Low risk: Less invasive than other biopsy methods.
Risks:
- Minor bleeding or swelling: This is usually temporary and resolves on its own.
- Slight risk of infection: Proper care minimizes this risk.
- Scarring: Minimal and often not noticeable.
Post-Treatment Care
- Avoid touching or irritating the biopsy site.
- Maintain good oral hygiene, but be gentle around the affected area.
- Stick to soft, non-spicy foods for a few days to avoid discomfort.
- Take any prescribed medications, such as antibiotics or pain relievers, as directed.
When to Consult a Doctor?
Seek advice from a maxillofacial surgeon in Surat if you experience:
- Persistent pain, swelling, or bleeding after the procedure.
- Signs of infection, such as redness, warmth, or pus at the site.
- Any unusual or concerning symptoms following the biopsy.
Early diagnosis through an incisional biopsy ensures timely and effective treatment.
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FAQ
What is the difference between incisional and excisional biopsy?
An incisional biopsy removes a small tissue sample for diagnosis, while an excisional biopsy removes the entire lesion along with a margin of healthy tissue.
What is another name for an incisional biopsy?
An incisional biopsy is also known as a partial biopsy.
Which tissues are removed during an incisional biopsy?
Only a portion of the suspicious tissue is removed during an incisional biopsy.
What is incisional or punch biopsy?
Both are types of partial biopsies. A punch biopsy removes a small, round tissue sample using a circular tool, while an incisional biopsy removes a wedge-shaped section with a scalpel.
What is the purpose of an incisional biopsy?
The purpose of an incisional biopsy is to diagnose lesions or abnormalities when the entire lesion cannot be removed.
What are the 2 types of surgical biopsy?
The two types are:
- Incisional biopsy – partial removal of tissue.
- Excisional biopsy – complete removal of the lesion.
What are the disadvantages of incisional biopsy?
- It does not remove the entire lesion, which may require further treatment.
- There is a slight risk of infection or scarring.
How to perform an incisional biopsy
An incisional biopsy involves numbing the area, making a small incision to remove part of the lesion, and closing the site with stitches.
What size is an incisional biopsy?
The size varies depending on the lesion, but typically a small wedge or section of 5-10 mm is removed.
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