Common types of surgery

For most cancers, abnormal tissue must be removed and examined to make a diagnosis and find out whether the cancer has spread. This process is called staging. Staging can help the doctor recommend the best treatment for you. Some cancers are also given a grade, which describes how abnormal the cancer cells are and how fast they are growing.

The procedure used to diagnose and stage the cancer is called a biopsy, and it may be done under a local or general anaesthetic. The tissue sample is sent to a laboratory for examination under a microscope by a pathologist.

Often a biopsy is done using a thin or hollow needle, which may be guided by an ultrasound, x-ray or CT machine. A surgical biopsy (open biopsy) is done by cutting the body to remove all or part of the tumour. Various surgical tools can be used depending on the part of the body affected.

A biopsy is sometimes done in the doctor’s rooms, but it may also be done in an operating theatre in hospital as day surgery. 

Sometimes diagnostic and staging surgery removes all of the cancer, and you don’t need further surgery or treatment. For specific information about staging the type of cancer you have, talk to your medical team or call Cancer Council 13 11 20 and ask for a free information booklet.

Types of biopsy

The types of biopsy used to diagnose and stage cancer include:

• Incisional biopsy – part of the tumour is cut out
• Excisional biopsy – the entire tumour is cut out. A margin of healthy tissue is usually removed at the same time
• Core biopsy – a needle is used to remove a thin core of tissue. Sometimes a CT scan or ultrasound is used to guide the needle 
• Fine needle aspiration or biopsy – a thin needle is used to remove a sample of fluid and tissue from the tumour
• Skin biopsy – a skin cancer is cut out. The doctor will do an incisional or excisional biopsy of the area. For more information about treating skin cancers, call Cancer Council 13 11 20 and ask for a free copy of Understanding Skin Cancer or Understanding Melanoma, or download digital versions from your local Cancer Council website
• Endoscopic biopsy/endoscopy – a long, thin, flexible tube with
  a light and a camera is inserted into the body through a natural
  opening (e.g. the mouth) or a small cut. The doctor views images
  of the body on a TV or computer screen and takes a biopsy.

Types of endoscopy

The type of surgery used to treat cancer depends on the location and stage of the cancer and your general health. The table below lists some of the more common types of cancer surgery.