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Biopsy

Biopsy is the collection of tissue samples for pathological analysis. It is the definitive diagnostic method for lymphoma and is essential for distinguishing lymphoma from inflammatory-bowel-disease. Biopsies also allow grading of tumors, which directly affects prognosis.

Key Facts

  • Three methods: surgical biopsy, endoscopic biopsy, and needle aspiration
  • Surgical biopsy: most thorough (full thickness), but most invasive; requires anesthesia and delays chemotherapy
  • Endoscopic biopsy: less invasive, same-day procedure, but smaller samples; only intestine accessible
  • Needle aspiration: least invasive, rarely needs anesthesia, but limited accuracy
  • Grading (high vs low-grade) is easiest with actual tissue chunks (not aspirates)
  • Low-grade intestinal lymphoma has BETTER prognosis than high-grade (unusual for cancers)
  • Species: dogs and cats

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