Alves R, Viana I, Vale E, Bordalo O

Language: Portugués
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A skin biopsy is an essential method of diagnosis in dermatology and is often used in clinical practice. It is a simple and rapid procedure that gives important information for the diagnosis through the histopathological examination. Some of the biopsy techniques are: “shaving”/scissors, curettage, punch, incisional or excisional biopsy.
Factors that determine the type of biopsy include location, morphology, size, and depth of the lesion and, lastly the final cosmetic outcome.
When performing a skin biopsy it should be taken into consideration the basic mechanics of the procedure itself, as well as the careful selection of the lesion, the most appropriate surgical method, proper handling and setting (fixation) of the sample. Selection of the lesion or lesions is a very important issue since adequacy of the sample will lead to a definitive diagnosis.

REFERENCES

1. James WD, Berger TG, Elston DM. Skin: Basic structure and function. In Andrew’s Diseases of the Skin-Clinical Dermatology, James WD, Berger TG, Elston DM (eds), 10a ed, Canada, Saunders Elsevier, 2006, pp. 18.

2. Ackerman AB. Proper biopsy. En: Histologic diagnosis of inflammatory skin diseases, 2a ed, Pennsylvania, Williams & Wilkim, 1997, pp. 99-103.

3. Chung L, Kea B, Fiorentino DF. Cutaneous Vasculitis. In Bolognia JL, Jorizzo JL, Rapini RP (eds), Dermatology, 2a ed, New York, Mosby, 2008, pp. 347-67.

4. Kano Y, Orihara M, Shiohara T. Cellular and molecular dynamics in exercise-induced urticarial vasculitis lesions. Arch Dermatol 1998; 134: 62-7.

5. Mark B, Gibbs BS, Joseph C, English I, Zirwas MJ. Livedo reticularis: An update. J Am Acad Dermatol 2005; 52: 1009-19.

6. Olbricht S: Biopsy techniques and Basic Excisions. In Bolognia JL, Jorizzo JL, Rapini RP (eds), Dermatology, 2a ed, New York, Mosby, 2008, pp. 2209-23.

7. Maritza P, Rashmi L, Keyvan N. Skin biopsy techniques. In Keyvan N, Susana LK, Techniques in Dermatologic Surgery 2ed, London, Mosby 2003, pp. 75-9).

8. Zuber TJ. Punch Biopsy of the Skin. Am Fam Physician 2002; 65: 1155-8, 1161-2, 1164, 1167-8.

9. Kien TT, Natalie AW, Cockerell CJ. Biopsy of the pigmented lesion—When and how. J Am Acad Dermatol 2008; 59: 852-71.

10. Rich P. Nail Biopsy: Indications and Methods. Dermatol Surg 2001; 27: 3: 229-34.

11. Rich P. Nail Surgery. In Bolognia JL, Jorizzo JL, Rapini RP (eds). Dermatology, 2a ed, New York, Mosby, 2008, pp. 2259-68.

12. Collins CS, Cordova K, Jellinek NJ. Alternatives to complete nail plate avulsion. J Am Acad Dermatol 2008; 59: 619-26.

13. Berker DA, Baran, Dawber RP: Cirugía y traumatismos de la uña. In Manual de Enfermedades de las uñas y su tratamento. Berker DA, Baran, Dawber RP (eds), 2ª ed, Barcelona, EDIMSA, 1999, 129-47.

14. Baran R, Kechijian P. Longitudinal melanonychia (melanonychia striata): diagnosis and management. J Am Acad Dermatol 1989; 21: 1165-75.

15. Jellinek N. Nail matrix biopsy of longitudinal melanonychia: Diagnostic algorithm including the matrix shave biopsy. J Am Acad Dermatol 2007; 56: 803-10.

16. James WD, Berger TG, Elston DM. Chronic blistering dermatoses. In Andrew’s Diseases of the Skin-Clinical Dermatology, 10a ed, Canada, Saunders Elsevier, 2006, 817-8.