Clinical laboratories in Donostia, Gasteiz and Bilbao
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Combined pathway

Biopsies and histopathology

Examines tissue obtained by biopsy or surgery to provide a histological diagnosis and, where relevant, grade, margins or ancillary tests.

SampleTissue in appropriate fixative or fresh according to procedure; the container must never be improvised.
FastingNot determined by the laboratory analysis; the biopsy procedure may have its own instructions.
Indicative turnaroundUsually several working days; may be longer for extra sections, stains, immunohistochemistry or expert review.
PathwayCombined pathway
Available atDonostia · Gasteiz · Bilbo

Why it is performed

  • Confirm the nature of a lesion or tissue.
  • Distinguish benign, inflammatory, premalignant or malignant processes.
  • Assess grade, depth, margins and other factors where relevant.
  • Guide treatment and follow-up.

How it is performed

The specimen is fixed, processed, embedded in paraffin, cut into thin sections and stained. A specialist examines morphology and may request additional techniques before final diagnosis.

Preparation

  • Follow procedure instructions and report anticoagulants, allergies and pregnancy.
  • The specimen must be identified with exact site and relevant clinical data.
  • Do not open or manipulate the container after collection.
  • If tissue is obtained outside Askabide, confirm fixative and transport beforehand.

How Askabide processes it

Combined pathway

Each Askabide centre has a pathology unit for the clinical pathway and sample management. Histological processing and reporting are performed in the authorised unit or relevant partner laboratory, maintaining identification, preservation and traceability.

Part is performed at Askabide and another phase or confirmation is processed externally.

Results and indicative intervals

Intervals vary by method, analyser, reagent, units, age, sex, pregnancy, menstrual-cycle phase and reference population. The valid interval is the one printed on the laboratory report.
Parameter or resultIndicative referenceHow it is interpreted
Histological diagnosisDescription and diagnostic conclusionIt is not expressed as a numerical normal range.
Benign / inflammatoryNo malignant criteria in the specimen examinedMust correlate with the clinical lesion and specimen adequacy.
Premalignant lesion / dysplasiaOrgan-specific classification and gradeUsually requires specific follow-up or treatment.
MalignancyType, grade and prognostic data where relevantThe report may require immunohistochemistry, biomarkers or additional molecular testing.
MarginsClear / involved / not assessableApplies only to selected specimens and procedures.

Important limitations

  • A small biopsy may not represent the entire lesion.
  • Poor fixation, fragmentation or missing clinical data may limit diagnosis.
  • A benign result must fit imaging and examination; otherwise a new sample may be required.
  • Turnaround must not be shortened at the expense of diagnostic quality.
This website provides general information about clinical laboratory tests and diagnostic procedures. It does not replace an individual clinical assessment or the interpretation of the report issued by the laboratory.
Published reference values are indicative and may vary according to the method, equipment, units and individual characteristics.