2023, Number 1
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Dermatología Cosmética, Médica y Quirúrgica 2023; 21 (1)
Scalp biopsy technique for alopecia diagnosis
Macías APA, Morales CCA, Balaguera OV
Language: Spanish
References: 14
Page: 7-12
PDF size: 307.93 Kb.
ABSTRACT
Introduction: scalp biopsy using a punch is a simple technique,
useful to make or confirm a diagnosis of alopecia, mainly
of the scarring type. Choosing the right site improves the diagnostic
accuracy of the test, this can be achieved using dermoscopy.
It is likewise important to know and follow each of the
steps described below in order to obtain an adequate sample
for histopathological analysis.
Development: the surgical technique of scalp punch biopsy
is illustrated by means of a photographic sequence, explaining
each step. Dermoscopic features of scarring alopecia are described,
these are useful to determine the appropriate biopsy
site. The proper use of the punch to perform a scalp biopsy
allows getting and adequate and sufficient sample to carry out
a clinicopathologic correlation in alopecia patients.
Conclusion: scalp biopsy using a punch is a routine procedure
performed by a dermatologist, very useful in the diagnosis of
alopecia. Knowing and applying the correct surgical technique
guarantees obtaining an optimal tissue sample for processing a
histopathological study.
REFERENCES
Kilic AE, Kivanc AE y Sisik A, Biopsy techniques for skin disease and skincancer: a new approach, J Cutan Aesthet Surg 2020; 13:251-4.
Stengel FM, Indications and technique of biopsy for diseases of thescalp, J Dermatol Surg Oncol 1978; 42:170-1.
Restrepo R y Calonje E, Diseases of the hair. En McKee’s pathology of theskin, 5ª ed., Elsevier, 2020, cap. 22, pp. 1052-1073.
Madani S y Shapiro J, The scalp biopsy: making it more efficient, DermatolSurg 1999; 25:537-8.
Martínez W y Restrepo R, Procesamiento de biopsias de piel en ellaboratorio de patología, Rev Asoc Colomb Dermatol 2014; 22:39-55.
Knopp E, The scalp biopsy for hair loss and its interpretation, SeminCutan Med Surg 2015; 34:57-66.
Kamyab-Hesari K, Aghazadeh N et al., Diagnostic accuracy measuresfor vertical and transverse scalp biopsies in cicatricial and non-cicatricialalopecias, Dermatologica Sinica 2017; 36:30-5.
Mubki T, Rudnicka L, Olszewska M y Shapiro J, Evaluation and diagnosisof the hair loss patient part ii : trichoscopic and laboratory evaluations,J Am Acad Dermatol 2014; 71:431.
Miteva M y Tosti A, Dermoscopy guided scalp biopsy in cicatricialalopecia, J Eur Acad Dermatol Venereol 2013; 27:1299-303.
Navarrete D, Moll-Manzur C y Droppelmann C, Actualización en eluso de la biopsia de piel por punch, Rev Chil Cir 2016; 68:467-73.
Sinclair R, Jolley D, Mallari R y Magee J, The reliability of horizontallysectioned scalp biopsies in the diagnosis of chronic diffuse telogenhair loss in women, J Am Acad Dermatol 2004; 51:189-99.
Stefanato CM, Histopathology of alopecia: a clinicopathological approachto diagnosis, Histopathology, 2010; 56:24-38.
Whalen JG, Gehris RP, Kress DW y English JC, Surgical pearl: instrumenttamponade for punch biopsy of the scalp, J Am Acad Dermatol2005; 52:347-8.
Arribas Blanco JM, Castelló Fortet JR, Rodríguez Pata N y SánchezOlaso A, Cirugía menor en heridas (laceraciones). Heridas en cara ymanos, Semergen 2002; 28:249-64.