Download presentation
Presentation is loading. Please wait.
Published bySydney Bruce Modified over 9 years ago
1
SKIN BIOPSY WHY, HOW, WHICH PROF IHAB YOUNIS
2
WHY
3
1- Every skin nodule should be biopsied
4
2-Resolving confusion
5
3-Taking therapeutic decisions
6
4- Medicolegal aspects
7
6-Therapy
8
HOW
9
Mark & Inject Local Anesthesia
10
Choosing Type Of Biopsy Scarring Inadequate size
11
1- Punch biopsy
13
2- Incisional & Excisional Biopsy
14
3-Shave Biopsy
15
PUT THE SAMPLE IN 10% FORMALIN
16
UNLESS ABSOLUTELY ESSENTIAL AVOID
17
Highly vascular areas The face Irritable patient
18
Infants Upper trunk (Keloid) Lower leg in elderly(healing) Cardiac pts (Aspirin)
19
Which
20
Which Lesion To Choose For Biopsy? Early (but not very early) Untreated Representative Inclusion of normal skin in immunofluorescence
21
Which Pathology Lab?
22
A pathologist interested in dermatology A dermatologist interested in pathology Most important to a person who can say “I DO NOT KNOW”
23
Do NOT deny what your eyes are seeing because the pathology report says the opposite
24
The Pathologist is not your enemy, Do not make his life difficult WRITE DOWN A PROPPER SHEET
25
Name Age Sex Duration Site Treatments used Differential diagnosis (avoid abbreviations)
26
THANK YOU
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.