Question 51

Question 1

explain biopsy procedure

Answer 1

• Explain to pt that they have been referred for a biopsy as you have a lesion/lump in your mouth that requires further investigation
• A small sample of tissue from the lesion is taken and examined under a microscope by a pathologist, to identify what is causing the lesion and what treatment may be necessary
• There are two types of biopsy:
  o Incisional – used to remove only part of a lesion. Used when lesion is very large or we are unsure of the diagnosis
  o Excisional – used to completely remove a lesion. Used when lesion is very small or we are fairly certain of diagnosis
• On the day of your appointment:
  o You can eat/drink as normal and take any medications normally unless told otherwise
  o The clinician will introduce themselves to you and get your to sign a consent form containing procedure, risks and benefits, allowing time for Qs
  o They will then numb the area with LA, just like your dentist would for a filling
  o Once numb, the sample of tissue is taken. Pressure is then applied and some dissolvable stitches placed to stop any bleeding. Overall this should take about 15-20 mins
  o The clinician will then give you some post-op instructions:
   Pain – area may be uncomfortable for a few days following, take normal painkillers that you would for a sore head
   Bleeding – avoid physical activity, avoid rinsing for 24 hours, soft cold food/drink for next few hours, avoid biting on area and avoid smoking/drinking for 24-48 hours. Normal to notice some blood in saliva, however if it does start to ooze, place some gauze on the area with pressure for 10-15 minutes
   Infection – don’t rinse for 24 hours, however from then rinse with HSMW. Clean teeth as normal
   Stitches – dissolvable stitches placed which should dissolve away by themselves within 2-4 weeks
   If any issues or concerns feel free to get in touch
  o Arrange a follow-up for results of biopsy