Surgical Skin Biopsy

Overview

This procedure, performed with local anesthetic, is used to remove and examine a tissue sample from a suspicious growth on the skin. Depending on the type and location of the growth, one of three biopsy methods may be used.

Shave biopsy

The shave biopsy method is commonly used to examine a growth that affects only the outermost layers of skin. During a shave biopsy, the physician uses a scalpel or razor blade device to slice off a thin layer of the abnormal tissue. The wound is then bandaged, and it will form a scab as it heals.

Incision Biopsy

The incision biopsy method is commonly used when the physician requires a larger sample of tissue. During an incision biopsy, the physician uses a scalpel to cut away a sample of skin. The wound is typically then sutured.

Punch biopsy

The punch biopsy method is commonly used to sample growths that may affect multiple layers of skin. During a punch biopsy, the physician uses a tube with a cylindrical blade on the end to punch down through the skin and remove a rounded core of tissue. The wound may be closed with a suture.

Examination

After a skin biopsy is removed, the tissue sample is sent to a pathology lab for microscopic examination. The results of the examination can help the physician determine the best treatment method for the growth.