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Polyp Biopsy – Indications, Procedures, Results

Polyp biopsy

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

How the Test is Performed

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

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

How a polyp biopsy is done 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 or where the polyp can be felt, numbing medicine 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. There, 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. Your health care provider will tell you if you need to not eat or drink anything (fast) before the biopsy.

More preparation is needed for biopsies inside the body. For example, if you have a biopsy of the stomach, you should not eat anything for several hours before the procedure. If you are having a colonoscopy, a solution to clean your bowels is needed before the procedure.

Follow your provider’s preparation instructions exactly.

How the Test will Feel

For polyps on the skin surface, you may feel tugging while the biopsy sample 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 such as 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). The procedure may also be done to relieve symptoms, such as with the removal of nasal polyps.

Normal Results

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

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.

Risks

Risks include:

  • Bleeding
  • Hole (perforation) in organ
  • Infection

Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

Add references, clinical guidelines, textbooks, journal articles, or trusted medical sources here. You can edit this area later with a custom field named _rx_references.

Written by Dr. Harun Ar Rashid, MD - Arthritis, Bones, Joints Pain, Trauma, and Internal Medicine Specialist

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices. Born and educated in Bangladesh, Dr. Rashid earned his BPT from the University of Dhaka before pursuing postgraduate training internationally. He completed his MD in Internal Medicine at King’s College London, where he developed a special interest in inflammatory arthritis and metabolic bone disease. He then undertook a PhD in Orthopedic Science at the University of Oxford, conducting pioneering research on cytokine signaling pathways in rheumatoid arthritis. Following his doctoral studies, Dr. Rashid returned to clinical work with a fellowship in interventional pain management at the Rx University School of Medicine, refining his skills in image-guided joint injections and minimally invasive pain-relief techniques.