A biopsy device includes a body, an axial tube, a needle assembly, and a tissue sample holder. The body includes a proximal end. The axial tube extends proximally from the proximal end of the body. The axial tube includes at least one aperture. The needle assembly extends distally from the body and includes a needle and a cutter. The cutter is movable relative to the needle. The tissue sample holder is configured to removably couple to a proximal end of the body such that the axial tube is disposed within the tissue sample holder. At least a portion of the tissue sample holder is rotatable relative to the body such that the tissue sample holder is configured to rotate about the axial tube. The tissue sample holder is in fluid communication with the axial tube through the at least one aperture.