Biopsy of the pigmented lesion—When and how

Tran, Kien Trung; Wright, Natalie; Cockerell, Clay J.

doi:10.1016/j.jaad.2008.05.027

Cited by 85 publications

(52 citation statements)

References 170 publications

(214 reference statements)

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“…ABCD stands for border irregularity, colour variation and diameter. The newly added 'E' or evolution of a lesion has been shown in some studies to be the most specific finding that may indicate melanoma [9]. The "ugly duckling sign" is another new addition to the terms used in describing melanomas.…”

Section: Discussionmentioning

confidence: 99%

Pigmented Pre-malignant and Malignant Lesions of Skin with Special Reference to Atypical Presentations

Shirazi

Jindal

Singh

et al. 2015

JCDR

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Section: Discussionmentioning

confidence: 99%

Pigmented Pre-malignant and Malignant Lesions of Skin with Special Reference to Atypical Presentations

Shirazi

Jindal

Singh

et al. 2015

JCDR

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“…Los nevos atípicos deben ser extirpados idealmente en forma excisional con un margen visible libre entre 1-3 mm 20 . Dependiendo del tamaño, la extirpación puede realizarse con losanjo o punch, siempre alcanzando el tejido subcutáneo 20 .…”

Section: Técnica Quirúrgica De Biopsia Excisional E Incisionalunclassified

“…Dependiendo del tamaño, la extirpación puede realizarse con losanjo o punch, siempre alcanzando el tejido subcutáneo 20 . no se recomiendan márgenes amplios en forma inicial, ya que las incisiones amplias pueden alterar el drenaje linfático y dificultan la extirpación posterior definitiva de márgenes en el caso de ser un melanoma por ejemplo 20 . Los nevos atípicos/sospecha de melanoma se deben extirpar en el sentido del drenaje linfático (eje mayor del segmento corporal) 20 .…”

Section: Técnica Quirúrgica De Biopsia Excisional E Incisionalunclassified

“…no se recomiendan márgenes amplios en forma inicial, ya que las incisiones amplias pueden alterar el drenaje linfático y dificultan la extirpación posterior definitiva de márgenes en el caso de ser un melanoma por ejemplo 20 . Los nevos atípicos/sospecha de melanoma se deben extirpar en el sentido del drenaje linfático (eje mayor del segmento corporal) 20 . nunca se deben extirpar con afeitado ni electrodesecación.…”

Section: Técnica Quirúrgica De Biopsia Excisional E Incisionalunclassified

“…La biopsia incisional está indicada sólo si la lesión es muy grande o está ubicada en un lugar difícil. En estos casos, deben biopsiarse en forma incisional todas las zonas más oscuras y profundas 20 . Si el estudio histológico muestra un melanoma, el paciente debe ser derivado a dermatología/cirugía oncológica.…”

Section: Técnica Quirúrgica De Biopsia Excisional E Incisionalunclassified

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Cuándo Y Cómo Realizar Una Biopsia De Las Lesiones Cutáneas Frecuentes: Lo Que El Cirujano Debe Saber

et al. 2015

Rev Chil Cir

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how and when to perform a skin biopsy of a pigmented lesion. What the surgeon need to knowAt present times, general surgeons are continuously faced to evaluate patients with pigmented lesions. Thus, is very important that surgeons acquire adequate knowledge not only to distinguish between suspicious lesion and non suspicious lesion, but also to correctly assess when and how to perform a skin biopsy. The early detection of melanoma and non melanoma skin cancer is one of the most important factors to achieve a better prognosis. The main objective of this article is to provide surgeons some tips and pitfalls to help accurate the evaluation and diagnosis of pigmented lesions. The authors also want to stress out the importance of the team work between surgeons and dermatologist, due that is well documented that multidisciplinary approach to skin cancer raises the possibilities of early diagnosis, adequate treatment and better results for patients with skin cancer. key words: Skin cancer, suspicious lesion, diagnosis, biopsy. resumenEn la actualidad, el cirujano continuamente se ve enfrentado a evaluar distintos tipos de lesiones cutáneas en los pacientes, por lo que debe tener conocimientos de las características que hacen que una lesión sea sospechosa o no, para evaluar correctamente cuándo y cómo realizar una biopsia de una lesión cutánea. El diagnóstico precoz, tanto del melanoma como del cáncer de piel no melanoma, ha demostrado ser clave para mejorar el pronóstico de nuestros pacientes. Este artículo pretende entregar algunas claves para afinar Rev Chil Cir. Vol 67 -nº 5, Octubre 2015; pág. 538-544

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Preoperative Ultrasound‐Guided Incisional Biopsy Enhances the Pathological Accuracy of Incisional Biopsy of Cutaneous Melanoma

Wu²,

et al. 2022

J of Ultrasound Medicine

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Objectives-To assess the feasibility of preoperative ultrasound (US)-guided incisional biopsy through a prospective controlled clinical trial.Methods-This was a prospective, double-arm, single-center study of Chinese patients. Thirty patients were enrolled in the study. Fourteen patients received incisional biopsies for which the choice of biopsy area relied on a clinical evaluation, and 16 patients received incisional biopsies for which the choice of biopsy area relied on a US-guided evaluation. The following procedure was used in the US-guided incisional biopsy group: 1) clinical and dermoscopic evaluation of skin lesions; 2) US examination; 3) incisional biopsy; 4) surgical excision; and 5) histopathological examination. The same procedure was used in the non-USguided group except without US examination.Results-In the non-US-guided group, the mean tumor thicknesses obtained from incisional biopsy and postoperative histopathological examination were 2.1 and 4.1 mm, respectively. Seven melanomas were underestimated by incisional biopsy, resulting in margins narrower than currently recommended. In the USguided group, the mean tumor thicknesses obtained from US, incisional biopsy, and postoperative histopathological examination were 3.4, 2.9, and 2.7 mm, respectively. In only 3 melanomas was the tumor thickness of the incisional biopsy less than that of the postoperative histopathological examination, demonstrating that US-guided biopsy obtains the maximum thickness area.Conclusions-Preoperative US-guided incisional biopsy can enhance the pathological accuracy of incisional biopsy, which may allow us to better perform surgical excision with safe peripheral surgical margins.

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Biopsy of the pigmented lesion—When and how

Cited by 85 publications

References 170 publications

Pigmented Pre-malignant and Malignant Lesions of Skin with Special Reference to Atypical Presentations

Pigmented Pre-malignant and Malignant Lesions of Skin with Special Reference to Atypical Presentations

Cuándo Y Cómo Realizar Una Biopsia De Las Lesiones Cutáneas Frecuentes: Lo Que El Cirujano Debe Saber

Preoperative Ultrasound‐Guided Incisional Biopsy Enhances the Pathological Accuracy of Incisional Biopsy of Cutaneous Melanoma

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