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SKIN BIOPSY WHY, HOW, WHICH

SKIN BIOPSY WHY, HOW, WHICH. PROF IHAB YOUNIS. WHY. 1- Every skin nodule should be biopsied. 2-Resolving confusion. 3-Taking therapeutic decisions. 4- Medicolegal aspects. 6-Therapy. HOW. Mark & Inject Local Anesthesia. Choosing Type Of Biopsy. Inadequate size. Scarring.

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SKIN BIOPSY WHY, HOW, WHICH

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  1. SKIN BIOPSYWHY, 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 Inadequate size Scarring

  11. 1- Punch biopsy

  12. 2- Incisional & Excisional Biopsy

  13. 3-Shave Biopsy

  14. PUT THE SAMPLE IN 10% FORMALIN

  15. UNLESS ABSOLUTELY ESSENTIAL AVOID

  16. Highly vascular areas • The face • Irritable patient

  17. Infants • Upper trunk (Keloid) • Lower leg in elderly(healing) • Cardiac pts (Aspirin)

  18. Which

  19. Which Lesion To Choose For Biopsy? • Early (but not very early) • Untreated • Representative • Inclusion of normal skin in immunofluorescence

  20. Which Pathology Lab?

  21. A pathologist interested in dermatology • A dermatologist interested in pathology • Most important to a person who can say “I DO NOT KNOW”

  22. Do NOT deny what your eyes are seeing because the pathology report says the opposite

  23. The Pathologist is not your enemy, Do not make his life difficultWRITE DOWN A PROPPER SHEET

  24. Name • Age • Sex • Duration • Site • Treatments used • Differential diagnosis (avoid abbreviations)

  25. THANK YOU

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