Vulvar Biopsy is a procedure used to diagnose irregular skin tissue often located on the sides of the vaginal opening called the vulva. The sampling is easily done in the office with a small biopsy instrument that picks up a sample of skin tissue when rotated with gentle pressure on the skin. Vulvar biopsy should be done if the abnormal skin area is worrisome for pre-cancer (strange shape, irregular borders, non-healing, change in color, or bleeding). If a diagnosis cannot be made by examining the skin, or treatment you have tried is not working, then a sample of skin tissue needs to be sent for evaluation by a pathologist.
If you feel irregular skin or a bump on your genital area, often your clinician will know what the problem is and offer treatment. On occasion your clinician may not know by looking what the condition is, or s/he may have a concern for pre-cancer. In these cases, a vulvar biopsy is recommended. This tissue biopsy will be examined by a pathologist under a microscope. After the proper diagnosis is made your clinician will be able to better treat the problem.