Differences in biopsy techniques of actinic keratoses by plastic surgeons and dermatologists: a histologically controlled pilot study

Archives of Dermatology
Klaus Sellheyer, Wilma F Bergfeld

Abstract

To compare differences in biopsy techniques of actinic keratoses between dermatologists and plastic surgeons. Blinded, comparative, retrospective study. Dermatopathology laboratory at a major academic medical center with referral of outside cases. Intervention We reexamined the histopathologic slides of 405 actinic keratosis biopsy specimens obtained by plastic surgeons and dermatologists from January 1, 1992, through May 31, 2002. We were specifically interested in the type of biopsy technique (shave, punch, or excisional biopsy) used for the surgical management of actinic keratoses by both groups of physicians. We also recorded the clinical diagnoses rendered on the dermatopathology request form and compared them with the histopathologic diagnoses. Excisional biopsies were performed by plastic surgeons in 50.0% of the cases, compared with only 1.4% by dermatologists. In contrast, shave biopsies of actinic keratoses were performed by plastic surgeons in only 32.4% of the cases, compared with 89.4% by dermatologists. Only 1 (0.5%) of the 198 dermatopathology request forms submitted by the plastic surgeons mentioned actinic keratosis, compared with 82 (39.6%) of 207 histopathologic evaluation requests submitted by dermatologists...Continue Reading

Citations

Dec 7, 2010·The British Journal of Dermatology·K Sellheyer
Jul 31, 2014·Journal of the European Academy of Dermatology and Venereology : JEADV·G GualdiF Fantini
Jul 13, 2012·Ophthalmic Plastic and Reconstructive Surgery·Christine N Pham Lagler, Suzanne K Freitag
May 15, 2009·The British Journal of Dermatology·J M R GouldingV J Swale
Mar 19, 2014·The Australasian Journal of Dermatology·Evelina BuinauskaiteSkaidra Valiukeviciene
Oct 18, 2006·Archives of Dermatology·Lawrence M Lieblich

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