Biopsy - polyps

Answer 1

Definition

A polyp biopsyis a diagnostic procedure that takes a sample of or removes polyps (abnormal growths) for examination.

Alternative Names

Polyp biopsy

How the test is performed

Polyps are outgrowths of tissue that may be attached by a stalk-like structure (a pedicle). They are commonly found in organs with many blood vessels, such as the uterus, colon, and nose. Some polyps are cancerous (malignant) and likely to spread, while others are noncancerous (benign).

How a polyp biopsy is taken depends on the location:

• EGD(esophagogastroduodenoscopy) or other endoscopy is used for the throat, stomach, and small bowel.
• Colonoscopy or flexible sigmoidoscopy explores the large bowel.
• Colposcopy-directed biopsy examines the vagina and cervix.

For areas of the body that are visible, a topical anesthetic is applied, and a small piece of the tissue that appears to be abnormal is removed. This tissue is sent to the laboratory, where technicians determine if the polyp is benign or malignant.

How to prepare for the test

If the biopsy is to take place in the nose, or other visible surface or orifice, no special preparation is required, although fasting for a few hours beforehand may be advisable.

There is more preparation needed for internal procedures. Please see the particular procedure for additional information.

How the test will feel

For superficial polyps, you may feel a tugging sensation while the biopsy is being taken. After the anesthetic wears off, the area may be sore for a few days. Biopsies of internal polyps are performed during procedures (for example EGD or colonoscopy), and usually nothing is felt during or after the biopsy. Please see the individual procedure topics for more specific information.

Why the test is performed

The test is performed to determine if the growth is malignant (cancer).

Normal Values

Examination of the biopsy shows the polyp to be benign (not cancer).

What abnormal results mean

Malignant cells are present and may indicate a malignant tumor. Further tests may be needed.

What the risks are

Risks include:

• Bleeding
• Infection
• Organ perforation (hole)

Answer 2

Definition

A polyp biopsyis a test that takes a sample of, or removes polyps (abnormal growths) for examination.

Alternative Names

Polyp biopsy

How the test is performed

Polyps are growths of tissue that may be attached by a stalk-like structure (a pedicle). They are commonly found in organs with many blood vessels, such as the uterus, colon, and nose.

Some polyps are cancerous (malignant) and likely to spread. However, most polyps are noncancerous (benign). The most common site of polyps that are treated is the colon.

How a polyp biopsy is taken depends on the location:

• Colonoscopy or flexible sigmoidoscopy explores the large bowel
• Colposcopy-directed biopsy examines the vagina and cervix
• Esophagogastroduodenoscopy(EGD) or other endoscopy is used for the throat, stomach, and small bowel
• Laryngoscopy is used for the nose and throat

For areas of the body that can be seen, a numbing medication is applied to the skin. Then a small piece of the tissue that appears to be abnormal is removed. This tissue is sent to a laboratory, where it is tested to see if it is cancerous.

How to prepare for the test

If the biopsy is in the nose or another surface that is open or can be seen, no special preparation is needed. However, it may be a good idea to fast for a few hours before the biopsy.

More preparation is needed for biopsies inside the body.

How the test will feel

For polyps on the skin surface, you may feel a tugging sensation while the biopsy is being taken. After the numbing medicine wears off, the area may be sore for a few days.

Biopsies of polyps inside the body are done during procedures (for example, EGD or colonoscopy). Usually you will not feel anything during or after the biopsy.

Why the test is performed

The test is done to determine if the growth is cancerous (malignant).

Normal Values

Examination of the biopsy shows the polyp to be benign (not cancer).

What abnormal results mean

Cancer cells are present and may be a sign of a cancerous tumor. Further tests may be needed. Often, the polyp may be removed.

What the risks are

Risks include:

• Bleeding
• Hole (perforation) in organ
• Infection

References

Itzkowitz SH, Potack J. Colonic polyps and polyposis syndromes. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 122.

Reviewed By

Review Date: 02/19/2011

David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.