Skin Biopsies (2024 Draft)

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Diagnosing Skin Concerns

Importance of Skin Biopsies

Skin biopsies are invaluable procedures in dermatology, offering definitive diagnoses for a range of skin conditions. At HSMC, skin biopsies are performed by experienced general practitioners who are skilled in dermatological procedures. This procedure involves removing a small sample of skin tissue for examination. 

Types of Skin Biopsies

There are different skin biopsy techniques, and your doctor will determine which is the most appropriate for the skin condition and area to be assessed. These include:

  • Punch Biopsy: Uses a circular tool to remove a small cylinder of skin, including deeper layers. This is ideal for diagnosing deeper and more widespread skin conditions.
  • Shave Biopsy: Involves shaving off the top layers of the skin with a scalpel. It is best suited for superficial lesions that are raised above the skin surface.
  • Excisional Biopsy: The entire skin area of concern is removed and is typically used with a full diagnosis requires analysis of the entire lesion. This method is often performed for suspected melanomas.
  • Incisional Biopsy: Only a portion of the lesion is removed for diagnostic purposes, particularly when the lesion is too large to be completely excised or in a cosmetically sensitive area. 

When is a Skin Biopsy Performed?

Skin biopsies are performed to diagnose or rule out conditions such as:

  • Skin cancers, including basal cell carcinoma, squamous cell carcinoma, and melanoma.
  • Dermatological diseases that affect the skin’s appearance or texture.
  • Inflammatory skin conditions that have not responded to standard treatments.

What to Expect

This is an overview of what to expect when having a skin biopsy performed at High Street Medical Clinic:

  1. Consultation: An assessment of your skin concern and medical history to determine the most appropriate type of biopsy.
  2. Procedure: Conducted under local anaesthesia for your comfort. The chosen biopsy method depends on the lesion’s characteristics and the clinical suspicion.
  3. Results and Discussion: Biopsy results are typically available within a week or two and will be discussed in detail, including any necessary treatment plans.
  4. Post-Procedure Care: Instructions on caring for the biopsy site to promote healing and reduce the risk of infection.

FAQs

The area will be numbed with local anaesthesia, making the procedure itself painless. There may be minor discomfort post-procedure as the anaesthesia wears off.

Avoid applying lotions or other products to the area beforehand. Inform your GP about any medications you’re taking.

Healing times vary depending on the type of biopsy but generally range from a few days to a couple of weeks.

Skin biopsies often leave a scar, but the appearance of the scar will depend on the type of biopsy, size and depth of the procedure and individual healing processes. Efforts are made to minimise the appearance of scars through surgical techniques and post-operative care. Discuss scar management strategies with your doctor.

Keep the area clean and dry, and follow any specific aftercare instructions provided by your GP, including the use of antibiotic ointment if prescribed.

Biopsy techniques include punch, shave, excisional and incisional, depending on the lesion’s characteristics and location. Read more about these techniques in the section titled ‘Types of Skin Biopsies‘.

For a skin examination, book online or call us.

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High Street Medical Centre acknowledges the Wurundjeri people, who are the traditional custodians of the land on which we work. We pay our respects to Wurundjeri Elders past, present and future, and extend that respect to other Aboriginal and Torres Strait Islander people. We value their ongoing contribution to the cultural heritage of this land.

 

 

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