What is a bone biopsy procedure and how is it done?

Bone is one of the places where cancer spread is common; When a mass is seen in the bone, a bone biopsy is performed to distinguish whether the mass is a tumor of the bone itself, cancer spreading from another organ, or a benign bone tumor.

Bone biopsies can be performed under fluoroscopy (scopy) or computed tomography (CT) guidance. We mostly prefer CT-guided bone biopsy because it provides safer access and allows biopsy from small-sized masses.

Before the bone biopsy is performed, bleeding and coagulation parameters such as hemogram, INR, APTT, and blood values are checked. Since the procedure is more painful than other biopsy procedures, we generally prefer to perform the procedure with sedation under anesthesia support. The biopsy is taken using bone biopsy sets specially designed for the CT-guided bone biopsy procedure. The material taken is prepared properly and sent to the pathology laboratory. The skin is cleaned in a sterile way and covered with small gauze we call a sponge. The patient is kept under observation for approximately 2-4 hours and then discharged after clinical and, if necessary, blood test control.

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