This may be interesting to you
I also video’d it and will make it available.
This entry was posted on May 20, 2013, 1:26 am and is filed under Uncategorized. You can follow any responses to this entry through RSS 2.0.
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#1 by Dr Jeff Keir on May 20, 2013 - 2:04 am
Great little talk. Good challenge of the dogma.I wonder if for some folks it needsto be emphasised that shave bx is safest for flat and impalpable lesions, and that like the recommended excisional biopsy, the aim is to remove the whole lesion. Additionally, I find that I can orient my shaves with a nick. A dermatoscopic image of the lesion laid out on paper to keep it flat, with area/s of concern noted, can direct the sectioning a bit better than pure luck..
#2 by Dr Ian Katz on May 20, 2013 - 2:25 am
Good points Jeff – I will see if there are any further comments and add into slides. Agree about the fragment of skin on paper but very few bother to do that.
#3 by Tom Crawford on May 20, 2013 - 4:42 am
With all shave biopsies it need be emphasized these are strictly diagnostic, never therapeutic.The reporting of “clearance” can sometimes lead to confusion since there is , at least for me never to clear the lesion.It also appears that many individuals have not formed any opinion of what it may be they are biopsying and therefore would be unable to critically evaluate the pathology report..
To me clearance margins and depth are not so significant as a cell and tumor type identification.
And with difference to our fighter pilot (on yer Jeff) I consider an anatomic ie. Clarks’ level is possible after full excision, if necessary.However I realize many like a Breslow’s which cannot be measured in melanoma if only partially excised in depth .The most important aspect is also to have a good record of lesion size and shape before removal in order that adequate margins may be effected later if required.
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