Differences in Biopsy Techniques of Actinic Keratoses by Plastic Surgeons and Dermatologists

Sellheyer, Klaus; Bergfeld, Wilma F.

doi:10.1001/archderm.142.4.455

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…In fact there are evidence that dermatologist showed the best diagnostic accuracy, the lowest percentage of inappropriate procedures, and the lowest incomplete excisions . The different specialty groups may have differing views on the most appropriate procedure to be performed for a given lesion, we quote a study exploring the management of actinic keratosis: the authors' highlights that plastic surgeons were far more likely to excise these lesions fully, while dermatologists preferred the less invasive and more aesthetically acceptable shave biopsy . Therefore, the most accuracy requires the reduction in inappropriate procedures, and containing health care costs.…”

Section: Discussionmentioning

confidence: 99%

“…We quote a study exploring the management of actinic keratoses, to underline that different specialty groups may have different views on the most appropriate procedure to be performed for a given lesion; our results highlight that plastic surgeons were far more likely to excise these lesions fully, while dermatologists preferred the less invasive and more aesthetically acceptable shave biopsy. 17 So to achieve the best diagnostic accuracy calls for the reduction in inappropriate procedures, to limit health care costs. So we can assume that skin surgery is the prerogative of the dermatologist.…”

Section: Introductionmentioning

confidence: 99%

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Matter of margins

Gualdi

Monari

Crotti

et al. 2014

Acad Dermatol Venereol

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Incomplete resections occurred in 225 (4.97%) BCCs of the cases. Thirteen areas were categorized into in three different levels that rank the risk of incomplete removals. Sub-analysis indicates that just over a third had no complicating factors with the lateral/deep margins. The most frequent complicating factor is ulceration (22.9%), while vascular invasion or seborrheic keratoses were not found. Actinic keratoses, scabs and scars held the most responsibility for the involvement of the lateral margins, while perineural invasion is the main factor leading to deep margin involvement. Finally, a different trend for the involvement of lateral or deep margins according different histological sub-types was highlighted; lateral involvement is more frequent for the infiltrative/morpheic type, while the deep margin is more involved in the nodular type.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Matter of margins

Gualdi

Monari

Crotti

et al. 2014

Acad Dermatol Venereol

View full text Add to dashboard Cite

show abstract

“…Different specialty groups may have differing views on the most appropriate procedure to be performed for a given lesion, although one would now expect a degree of standardization with the advent of skin cancer MDTs. A study exploring the management of actinic keratoses highlights this issue with the finding that plastic surgeons were far more likely to excise these lesions fully, while dermatologists preferred the less invasive and more cosmetically acceptable shave biopsy 13 . It may be that nondermatologists are simply not aware of alternative (non‐) surgical treatments for benign or premalignant skin conditions.…”

Section: Discussionmentioning

confidence: 99%