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Intermediate Technical IVT

punch biopsy

A circular surgical sampling technique using a hollow cylindrical blade to obtain a full-thickness skin specimen.

Full Definition

A punch biopsy is a diagnostic procedure performed using a circular cutting instrument (punch) that ranges from 2-8mm in diameter. The technique removes a cylindrical core of tissue extending through the epidermis, dermis, and into the subcutaneous fat. This method provides excellent tissue architecture preservation for histopathological examination and is commonly used for diagnosing skin lesions when the entire lesion cannot be excised. The procedure requires local anesthesia and typically heals by secondary intention or with simple suturing.

Usage

Usage note: Always specify the punch diameter in millimeters in procedural documentation.

In Context

  • "A 4mm punch biopsy was performed to obtain tissue for histopathological diagnosis of the pigmented lesion." — Operative report
  • "The punch biopsy site was closed with a single interrupted suture to minimize scarring." — Procedure note

Also known as

punch excision circular biopsy

Contrasted with

shave biopsy incisional biopsy

Don't confuse with

shave biopsy excisional biopsy

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