Cone biopsy

What is Cone Biopsy?

Cone biopsy is a type of surgery used to obtain tissue samples from the cervix, the lower end of the uterus. It is a minimally invasive procedure that is often used to find cancer in the earlier stages. It is also used to treat pre-cancerous lesions or tumors, remove abnormal or infected areas, and to create pathways for future treatments. During the procedure, a cone-shaped tissue sample is obtained from the cervix. The sample is then sent to a lab and examined under a microscope for any abnormalities or signs of cancer.

Preparing for a Cone Biopsy

Your doctor will provide you with instructions on how to prepare for your cone biopsy. In general, you may be advised to:

• Stop taking certain medications, such as aspirin and ibuprofen, the day before the procedure
• Avoid douching or using tampons for at least two days prior to the procedure
• Take antibiotics prior to the procedure
• Refrain from using lotions or oils in the area that will be operated

Procedure for Cone Biopsy

The procedure typically requires only local anesthesia, but you may also be given intravenous sedation or general anesthesia before the procedure. Your doctor will use an endoscope or a colposcope to locate and access the cervix. The area is then cleaned and a speculum is inserted so that the doctor can gain access to the cervix. A small, cone-shaped tissue sample is then removed using a cutting device. The cone includes the inner and outer layers of the cervix. The sample is then sent to a lab to be examined for abnormalities or cancer.

Types of Cone Biopsy

There are two types of cone biopsies:

• Excisional cone biopsy: This type of procedure involves making an incision in the cervix and removing the abnormal tissue. This procedure is more complex than the incisional cone biopsy and usually requires a longer recovery time. It is typically used in cases where the abnormal tissue is large or in cases where cancer is suspected.
• Incisional cone biopsy: During this procedure, only the inner layer of the cervix is removed. It is less invasive than the excisional cone biopsy and usually requires a shorter recovery time. It is most often used for pre-cancerous lesions or tumors.

Risks of Cone Biopsy

Although rare, there are some risks associated with cone biopsy. These risks include:

• Infection
• Bleeding
• Damage to surrounding organs
• Scarring of the cervix
• Increased risk of miscarriage or preterm labor in pregnant women

Why Have a Cone Biopsy?

A cone biopsy is used to diagnose or treat a variety of conditions related to the cervix. It is often used to diagnose and treat cervical cancer, pre-cancerous lesions or tumors, and other abnormalities or infections. It can also be used to create pathways for future treatments, such as chemotherapy or radiation therapy.

When is Cone Biopsy Recommended?

Your doctor may recommend a cone biopsy if:

• Abnormal cells are detected during a Pap smear
• You have an infection in the cervical area
• You have a tumor or growth on the cervix
• You have symptoms of cervical cancer, such as pain, abnormal bleeding, or discharge
• You need treatment for pre-cancerous lesions or tumors