Possible reason for incorrect skin biopsy results - Therapth

stillHoping · 02-01-2016, 11:57 AM

Quote:

Originally Posted by glenntaj,

--4mm by 8mm incision is NOT standard for a skin biopsy, which is generally a 3mm diameter, 1mm thick sample.
Given the location, it sounds more like they did the more invasive sural nerve biopsy to me.

Quote:

Originally Posted by DavidHC

Mine was 3x1 too. 4x8 seems quite different, indicating inexperience or an entirely different biopsy.

Quote:

Originally Posted by Cliffman

It does sounds as if you may have had an actual nerve biopsy as opposed to a skin biopsy, which is not really invasive. That said, I'm no expert but I did have a skin biopsy. Perhaps you can go back to your doctor to double check what they did...either way I'm sorry to hear you have damage from the test.
Cliffman

Thanks for the replies.
According to the refferal and the test's results I am sure that I had a skin biopsy and not a nerve biopsy.
From what you wrote here and what I have previously read in this forum , it seems that my skin biopsy was done by a butcher!! It makes me furious

DavidHC · 02-01-2016, 12:00 PM

Butcher indeed! If that's the case, you have every right to be furious. So sorry.

Quote:

Originally Posted by stillHoping

Thanks for the replies.
According to the refferal and the test's results I am sure that I had a skin biopsy and not a nerve biopsy.
From what you wrote here and what I have previously read in this forum , it seems that my skin biopsy was done by a butcher!! It makes me furious

en bloc · 02-01-2016, 12:30 PM

I had the sural nerve biopsy in 1997 and it is VERY invasive. I don't think she had this because the sural nerve biopsy would be measured by cm not mm. My incision is about 5 cm long and they actually took 4 cm of sural nerve. No way this could have been done within 4-8 mm.

Cliffman · 02-01-2016, 12:40 PM

Quote:

Originally Posted by stillHoping

Thanks for the replies.
According to the refferal and the test's results I am sure that I had a skin biopsy and not a nerve biopsy.
From what you wrote here and what I have previously read in this forum , it seems that my skin biopsy was done by a butcher!! It makes me furious

Here's a good (short) video about skin biopsy's at Mount Sinai Hospital in NYC. At the end of the video they mention a "team" approach for treatment, which I believe is sorely lacking in most demographic areas.https://www.youtube.com/watch?v=RcVsbhP8EFA

Also, the test (if done properly) should not be invasive; https://www.youtube.com/watch?v=e7lCzgx3xnU

Cliffman

echoes long ago · 02-01-2016, 01:49 PM

way back in 2003 after my PN was confirmed by emg/ncs, the first test Columbia Presbyterian in Manhattan wanted to do was a sural nerve biopsy.....this was before any blood tests, mri's etc would be ordered. this didnt sound right to me so i did some research and talked to people on an old version of a board like this and as a result ran from columbia presbyterian and went to a different neurologist. They were definitely cut happy, at least at that time.

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