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Biopsy (Incisional and excisional)

Overview

A biopsy is a crucial surgical procedure that involves removing a portion of tissue or skin for a detailed evaluation. Various biopsy techniques are employed in this specialised field, including curettage, shaving, saucerization, snipping, and excisional or incisional biopsy.


Excisional biopsy is the removal of the tumour in its entirety, whereas incisional biopsy involves the resection of only a portion of the tumour. Excisional biopsy, commonly known as a wide local incision, is done by removing the tumour and surrounding tissue. The clinical margin, which is the amount of nearby tissue, depends on how dense the tumour is. In the event of a type of skin cancer such as melanoma, a skin graft, which involves replacing the skin with new skin taken from another region of the body, is employed. Skin flaps from other areas of the body may also be taken to conceal the wound from an excisional biopsy.

How do you perform an excisional biopsy?

This surgical procedure involves creating an incision over the skin to prepare to remove the suspicious region, which is the entire lump, along with nearby adjacent tissue. The sample is then sent to the pathology lab for a comprehensive investigation, ensuring the highest level of diagnostic accuracy.

How do you perform an incisional biopsy?

An incisional biopsy involves making an incision over the skin. A small segment of tissue or a portion of the lump or suspicious region is removed. This sample is then analyzed underneath the microscope to detect signs of disease.

What happens after the biopsy procedure?

The biopsy results will be obtained in a few days. They are discussed in depth during a follow-up consultation, where your active participation is crucial. Dr Phalafala will explain the meaning of the results, what to anticipate, and, if applicable, discuss potential treatment options.


FAQ

1Are there any aftereffects from an excisional biopsy?
You may anticipate swelling and redness around the area that subsides over time.
2Are there any adverse effects from an incisional biopsy?
The effects, although rare from an incisional biopsy, include the following:
  • Pain
  • Bleeding
  • Scarring
It’s crucial to contact the doctor immediately if you notice any signs of infection. Your health and safety are our top priority.
3Why do you perform an incisional biopsy?
An incisional biopsy is mainly executed when the tumour cannot be completely excised due to its size and location. It’s performed to check for signs of cancer, inflammatory skin disorders and other conditions. Understanding the purpose of the procedure can help you feel more informed and prepared.
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Dr Phalafala's success lies in her collaborative, detail-oriented approach to complex surgery. She develops personalised treatment plans focused on each patient’s unique needs, supported by a foundation of empathy, communication, and clinical excellence. Her goal is to provide transformative outcomes through reconstructive and cosmetic surgery that not only enhance form and function but also restore confidence and quality of life.

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