Preparation for Biopsy

A 55-year-old man has a painless mass in the upper lip for 2-3 years.  It is moveable underneath the oral mucosa.  It must be a lesion related to the minor salivary gland, since the tumor (Fig.1 *) is next to the minor salivary gland (<, grape-like structure). 

Both the skin and oral cavity should be cleaned with Iodine, as the finger of the operator pushes the skin and the tumor intraorally.  To finish biopsy, what else should be prepared?

Suniti: We need to prepare the liquid that is in a small jar (sorry, I forgot the name of it (10% formalin)) . And after the biopsy the jar is sent to the lab along with the patient's information (can anybody help fill it up?  Anything else?).

You will need the pick up that holds the skin tight and doesn't slip ( the pick up that has two sharp points at the tip).
As much as I can remember, in preparation we need:
10% Formalin
Pick up (with sharp pointed ends)
2/2 to wrap the cut piece for biopsy
Suture
Syringe
15 blade
Surgical suction
Saline for irrigation

Jenny: Using the tissue pliers hold the lesion without damaging it, at the same time, use the scalpel to cut all the way around the lesion until it is completely removed from the host. The wound is pressed with gauze to stop bleeding. Then place the specimen into a small piece of gauze and drop them in the 10% formalin jar. Rinse the wound and suture it.

Carmen:

There are two options for the biopsy:
1. You can use the laser machine to cut the tumor out. After this we can use hydrogen peroxide to clean up the wound. Next we suture to close the wound.
2. We can use a scalpel to cut open inner lip. Use a gauze to minimize bleeding and use a pickup to hold outer skin down so that the tumor is fully visible. Use the scalpel to cut the Tumor out. Use the hemostant to remove the tissue and make sure to clean up. Lastly suture the wound.

Ying: I think that Jenny's and Suniti's explanation is very good.  I may add a couple of words.  We need to remove small salivary gland tissue and add to to the 10% formalin jar (Why do we have to remove the salivary gland tissue?).

A salivary gland biopsy involves the removal of cells or small pieces of tissue from one or more salivary glands in order to be examined in the laboratory.  (Neighboring salivary gland tissue is removed to help pathologist identify the origin of the tumor or cyst and more importantly to prevent recurrence.)

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Xin Wei, DDS, PhD, MS 1st edition 03/27/2016, last revision 03/28/2016