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Biopsy techniques. Diagnosis of melanoma.

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 necessar...

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Published in:Dermatologic Clinics Vol. 20; no. 4; pp. 677 - 681
Main Authors: Swanson NA, Lee KK, Gorman A, Lee HN
Format: research Journal Article
Published: W B Saunders 2002 Oct
Online Access:View this record in EBSCOhost
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      dt: 2002 Oct
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      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        atl: Biopsy techniques. Diagnosis of melanoma.
      aug:
        au:
          Swanson NA
          Lee KK
          Gorman A
          Lee HN
      sug:
        subj:
          Biopsy, Needle Methods
          Melanoma Pathology
          Skin Neoplasms Pathology
          Female
          Immunohistochemistry
          Male
          Neoplasm Staging
          Sensitivity and Specificity
          Human
          Female
          Male
      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.Copyright © 2002 by Elsevier Inc.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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