Pathology · single question

For a small but clinically suspicious oral mucosal lesion, which biopsy technique is appropriate when you want to sample part of the lesion plus a margin for diagnosis?

  1. Incisional biopsy
  2. Excisional biopsy
  3. Brush (exfoliative) cytology
  4. Fine-needle aspiration
Show answer and explanation

Correct answer: A. Incisional biopsy

  • A. Correct. An incisional biopsy removes a representative portion (with margin) of a larger or uncertain lesion to establish a diagnosis before definitive treatment.
  • B. Excisional biopsy removes the entire lesion — reserved for small, clearly benign lesions.
  • C. Brush cytology only screens surface cells and cannot give a definitive architectural diagnosis.
  • D. FNA samples deep/cystic or glandular masses, not a superficial mucosal lesion.

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