To scoop or not to scoop: the diagnostic and therapeutic utility of the scoop-shave biopsy for pigmented lesions
UMass Chan Affiliations
Department of Medicine, Division of DermatologyDocument Type
Journal ArticlePublication Date
2014-10-01Keywords
BiopsyHumans
Melanoma
Nevus, Pigmented
Prospective Studies
Skin Neoplasms
Dermatology
Neoplasms
Skin and Connective Tissue Diseases
Surgical Procedures, Operative
Therapeutics
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Show full item recordAbstract
BACKGROUND: Concern over transection of melanomas has inhibited many practitioners from using the scoop-shave for removal of pigmented lesions. OBJECTIVE: To assess the safety and efficacy of the scoop-shave for pigmented lesions. MATERIALS AND METHODS: The practitioner's clinical diagnosis, intent (sample or completely remove), and removal technique (excision, punch, shave biopsy, or scoop-shave) were recorded. Pathology results including the status of the peripheral and deep margins were subsequently documented. RESULTS: Over an 8-month period, 333 procedures were performed. Of the 11 melanomas (6 in situ and 5 invasive) removed by the scoop-shave, none had positive deep margins and 6 (2 in situ and 4 invasive) were completely removed. One of the 50 dysplastic nevi removed by scoop-shave had a positive deep margin (moderately dysplastic). Forty-six dysplastic nevi were completely removed by the scoop-shave. When the practitioner's intent was "complete removal," the lesion was completely removed 73.1% of the time by scoop-shave, 91% by standard excision, 18.1% by shave biopsy, and 78.6% by punch excision (p < .0001). CONCLUSION: The scoop-shave is a safe and effective technique for diagnosis and treatment of melanocytic lesions.Source
Dermatol Surg. 2014 Oct;40(10):1077-83. doi: 10.1097/01.DSS.0000452659.60130.68. Link to article on publisher's siteDOI
10.1097/01.DSS.0000452659.60130.68Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30384PubMed ID
25229784Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1097/01.DSS.0000452659.60130.68