While the tissue biopsy for AFB smear/ZN stain test is a useful tool in the diagnosis of tuberculosis, it is not always accurate. The test may miss some cases of tuberculosis, especially if the bacterial load is low or if the sample is not collected properly. Therefore, a negative test result does not rule out tuberculosis, and additional testing may be needed. Additionally, the test may produce false-positive results, indicating the presence of acid-fast bacilli that are not related to tuberculosis. Therefore, the test is usually combined with other diagnostic tools, such as a culture test, to confirm the diagnosis of tuberculosis. It is important to follow the healthcare provider’s instructions for the biopsy procedure to ensure accurate results. A tissue biopsy is an invasive procedure, and there is a risk of bleeding, infection, and other complications. The healthcare provider will discuss these risks with the person before the biopsy procedure.