TY - JOUR
T1 - Biopsy techniques diagnosis of melanoma
AU - Swanson, Neil A.
AU - Lee, Ken K.
AU - Gorman, Annalisa
AU - Lee, Han N.
PY - 2002/10
Y1 - 2002/10
N2 - The biopsy of a suspicious pigmented lesion is critical to establishing a correct and complete diagnosis. It allows the dermatopathologist accurately to diagnose melanoma and to gauge maximum depth of invasion (and other histologic criterion). This, in turn, influences the extent of further necessary surgery or other adjuvant therapy. Furthermore, choosing the appropriate biopsy technique provides adequate cosmetic results, bearing in mind that the excisional technique is ideal because it removes the suspicious lesion en toto. Excisional biopsies should extend to the subcutaneous fat by means of a punch biopsy, a fusiform ellipse, or a saucerization. Incisional biopsies can be performed in certain circumstances, but should be done so with caution because sampling error may lead to missed diagnosis or inaccurate histologic criterion, such as depth.
AB - The biopsy of a suspicious pigmented lesion is critical to establishing a correct and complete diagnosis. It allows the dermatopathologist accurately to diagnose melanoma and to gauge maximum depth of invasion (and other histologic criterion). This, in turn, influences the extent of further necessary surgery or other adjuvant therapy. Furthermore, choosing the appropriate biopsy technique provides adequate cosmetic results, bearing in mind that the excisional technique is ideal because it removes the suspicious lesion en toto. Excisional biopsies should extend to the subcutaneous fat by means of a punch biopsy, a fusiform ellipse, or a saucerization. Incisional biopsies can be performed in certain circumstances, but should be done so with caution because sampling error may lead to missed diagnosis or inaccurate histologic criterion, such as depth.
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U2 - 10.1016/S0733-8635(02)00025-6
DO - 10.1016/S0733-8635(02)00025-6
M3 - Review article
C2 - 12380054
AN - SCOPUS:0036788417
SN - 0733-8635
VL - 20
SP - 677
EP - 680
JO - Dermatologic Clinics
JF - Dermatologic Clinics
IS - 4
ER -