Pathology · single question

The biopsy technique that best establishes a diagnosis of pemphigus vulgaris is:

  1. Excisional biopsy from the center of an ulcer
  2. Incisional (perilesional) biopsy
  3. Exfoliative cytology
  4. Aspiration biopsy
Show answer and explanation

Correct answer: B. Incisional (perilesional) biopsy

  • A. The ulcer floor is denuded; epithelium needed for diagnosis is lost there.
  • B. Correct. Perilesional/incisional tissue (with intact epithelium) is required, ideally with direct immunofluorescence.
  • C. Cytology cannot show the architectural/immunofluorescence features needed.
  • D. There is no fluid collection to aspirate.

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