Pathology · single question

Same case (hairy tongue). If biopsy were needed, what type would be used?

  1. Fine needle aspiration
  2. Immunofluorescence biopsy
  3. Excisional biopsy
  4. Incisional biopsy
Show answer and explanation

Correct answer: A. Fine needle aspiration

  • A. Correct. If biopsy of hairy tongue were required, an incisional biopsy (representative sample) would be used. In practice, biopsy is rarely needed as the diagnosis is clinical.
  • B. Incorrect. Immunofluorescence biopsy is specifically for immunobullous diseases (pemphigus, pemphigoid).
  • C. Incorrect. Excisional biopsy removes the entire lesion — not appropriate for large dorsal tongue involvement.
  • D. Incorrect. FNA is for cystic lesions or lymph nodes.

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