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- Title
The increasing use of shave biopsy for diagnosing invasive melanoma in Australia.
- Authors
Menezes, Sara L; Kelly, John W; Mar, Victoria; de Menezes, Sara L
- Abstract
Regarding impact on survival, aside from the importance of microstaging for access to medical therapies that provide survival benefit, it must be recognised that pathological diagnosis can be challenging, with up to 9.2% of melanocytic biopsies underinterpreted.[2] Adverse consequences of a false negative misdiagnosis are significantly reduced with complete excisional biopsy compared with partial biopsy.[3] With the increasing use of shave biopsy and margin involvement, we may indeed start to see an increase in adverse outcomes directly related to this technique. It is inferior to excisional biopsy in achieving two critical objectives: accurate pathological diagnosis[3] and adequate estimation of depth.[1] Therefore, for most clinically assessed invasive melanomas, we recommend excisional biopsy with primary closure.
- Subjects
AUSTRALIA; BIOPSY; SENTINEL lymph nodes; SHAVING
- Publication
Medical Journal of Australia, 2020, Vol 212, Issue 5, p238
- ISSN
0025-729X
- Publication type
letter
- DOI
10.5694/mja2.50502