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Shave biopsy is a biopsy procedure in which a skin abnormality and a thin layer of surrounding skin are removed with a small blade for examination under a microscope. Shave biopsies are not effective in treating melanomas, but can provide a reasonably safe and accurate initial diagnosis. [1] Surgical sutures are not needed with this procedure. [2]
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A shave biopsy is done with either a small scalpel blade or a curved razor blade. The technique is very much user skill dependent, as some surgeons can remove a small fragment of skin with minimal blemish using any one of the above tools, while others have great difficulty securing the devices.
Mohs surgery is most commonly used on the head and neck, where its use conserves normal tissue and decreases the risk of recurrence. For these reasons, it is also considered for skin cancers on hands, feet, ankles, shins, nipples, or genitals.
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The pathological appearance of a squamous-cell cancer varies with the depth of the biopsy. For that reason, a biopsy including the subcutaneous tissue and basilar epithelium, to the surface is necessary for correct diagnosis. The performance of a shave biopsy (see skin biopsy) might not acquire enough information for a diagnosis. An inadequate ...
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Generally a skin biopsy: For punch biopsies, a size of 4 mm is preferred for most inflammatory dermatoses. [2] Panniculitis or cutaneous lymphoproliferative disorders: 6 mm punch biopsy or skin excision. [2] A superficial or shave biopsy is regarded as insufficient. [2]