Why do I have to do a biopsy after a gastroscopy? Is cancer suspected?

This question will be answered by Liu Ming, director of the first department of Chongqing Sanbo Jiangling Hospital, welcome to pay attention.

If polyps, ulcers, and tumors are found under gastroscopy, a biopsy is required to confirm the diagnosis, and the biopsy is done to rule out malignant lesions.

If a biopsy is not performed, there is a risk of missing the diagnosis.

So you don't have to worry too much, just wait patiently for the biopsy results, generally it is not very likely to be cancer, most of them are gastritis and ulcers.

I'm Dr. Shadow. Why do I need to do a biopsy for gastroscopy? One of the benefits of gastroscopy is that if you see a suspicious lesion, you should have to do it like a biopsy.

The purpose of biopsy is to rule out malignant lesions and exclude the possibility of gastric cancer, because many lesions are difficult to distinguish from simple inflammation or combined with cancer with the naked eye, and they need to be taken out for laboratory tests and looked under a microscope to determine whether they are gastric cancer. If you want to take a biopsy, you don't need to worry too much, some of them are just simple chronic inflammation, and you can decide what to do with it when the results are available.

Why do I need to do a biopsy for gastroscopy?

Gastroscopy is an examination in which the esophagus and stomach are observed through the mouth with a mirror. If you suspect that there is a lesion, you can directly do a biopsy, take some tissues out for testing, and see what the nature of the lesion is.

For example, if you do a gastroscopy and see that there is erosive gastritis and gastric ulcer, you need to do a biopsy at this time, because you don't know if there is any malignant tissue in the erosive tissue, and you need to take a little tissue out for testing. If the test shows that it is simple inflammation, it is enough to treat the symptoms**, but if some cancer cells are seen, even if one cancer cell is seen, stomach cancer can be diagnosed. In terms of **, it is necessary to evaluate whether gastrectomy surgery can be done.

For example, if you do a gastroscopy and see a polyp in the stomach, if it is very small, you can remove it directly, and you will also do a biopsy after removal to see what kind of polyp it is. If the polyp is very large, only a biopsy can be taken, and the biopsy is benign, then the surgical method can be directly removed, but if it is malignant, it is necessary to evaluate whether it can be operated.

Do you have to do a biopsy to suspect that it is malignant?

When a friend heard that he was going to have a biopsy, he was very worried about whether it was malignant. It is not necessary that the doctor suspects malignancy before a biopsy is needed, that is, if there is a different from normal and there is inflammation, a biopsy may also be needed, and a biopsy should be taken if there is a polyp. A biopsy is done to be more reassuring.

Of course, there are also many cases of irregular ulcer shape seen under gastroscopy, or directly seen in the stomach, suspected of stomach cancer, and need to be biopsied.

When doing gastroscopy, after the doctor says that he will do a biopsy, he doesn't have to worry too much, it is not necessarily malignant, the possibility of malignancy is still very small, and he has to wait until the results come out.

Doctor Shadow.

Intuitively, we can only judge potential tumors empirically, especially plant tumors like tumors. If there is erosion necrosis or ulcer formation on the surface of the tumor, the likelihood of malignant tumor is greater than that of gastric cancer, and high-risk groups should undergo regular gastroscopy, but for some patients, even if gastroscopy is performed, the likelihood of gastric cancer is very small because it is neglected; The gastric mucosal glandular epithelium is replaced by an intestinal epithelium containing potassium cells, called epithelial metaplasia. This is very common in Type B wills and needs to be looked out for!

Although chronic gastritis or chronic gastritis with intestinal metaplasia and gastric cancer are two completely different diseases, considering the evolution of chronic gastritis with intestinal metaplasia and gastric cancer, mild gastritis with intestinal metaplasia cannot be controlled, and severe gastritis based on intestinal metaplasia is not well controlled. If the condition continues to worsen, stunted growth occurs. An important part of further development, that is, the biopsy mentioned in the title, will also lack the opportunity for early detection of gastric cancer, and the diagnosis requires biopsy, if the observation of the gastric mucosa to the gastric mucosa is not a good phenomenon of chronic atrophic gastritis with intestinal metaplasia, gastritis is already more serious, in the direction of gastric cancer, intestinal metaplasia is divided into mild, moderate and severe intestinal metaplasia develops into dysplasia, and eventually develops into gastric cancer, glandular or vascular arrangement is approximately irregular, polarity disappears, It is highly suspicious of early gastric cancer or intraepithelial neoplasia. For further diagnosis, the biopsy should also be sent to reveal the pathological nature, but if you want to further confirm the diagnosis, a biopsy is required, for example, if you find a prominent keloid, you need to do a biopsy to see if the lesions in the stomach are malignant or other pathological changes, such as atrophy, intestinal metaplasia, dysplasia or Helicobacter pylori. Erosive gastritis with bile reflux is considered, and a biopsy is requested to raise concerns about the possibility of gastric cancer. In fact, a biopsy must be done.

A biopsy is not the same as cancer, but to rule out the possibility of cancer, serious diseases, bacterial infections, etc., so your doctor has you do a biopsy just to find out your condition, not benign or malignant. For example, a biopsy is done for people with gastritis to see if there is atrophy.

The probability is not particularly high, the doctor just did a biopsy, but the results of the biopsy did not come out, it may be benign, there is no danger and harm.

No. A biopsy is done during gastroscopy just to confirm the condition, it does not mean that the condition is serious, and some hospitals also require that a biopsy must be done when doing gastroscopy.

No, such a situation is likely to be chronic gastritis, so don't worry too much at this time and let the doctor give professional advice.

Once the gastroscope is biopsied, is there stomach cancer? Will it hurt the stomach or aggravate stomach problems, and cause stomach cancer to spread?

Biopsy is a routine test and a necessary final diagnostic test. Of course, there won't be the problem you said: cancer metastasis and spread through its own blood circulatory system. You're worrying too much.

In formal medical institutions, scientific methods are the key, just believe in science.