ten Koppel P G J, Vuyk H D, Neumann H A M
Afd. Keel-, Neus- en Oorheelkunde, Erasmus MC, Dr.Molewaterplein 40, 3005 GD Rotterdam.
Ned Tijdschr Geneeskd. 2005 Jul 9;149(28):1561-7.
The razor-blade shave technique uses a slightly-curved classic razor blade to shave and remove the exophytic part of a skin lesion and part of the intradermal structure down to the stratum papillare. It can then be sent for pathology investigations. This treatment is curative for many benign skin conditions. The cosmetic result ofthe razor-blade technique is superior to that of surgical excision. The razor-blade technique is useful as a biopsy instrument in the diagnosis of skin rumours of unknown nature, especially in keratoacanthomas. The technique is very easy and cheap. However, if the skin lesion is a suspected malignant melanoma, traditional surgical excision should be performed. The shave technique is not suitable for malignant skin tumours.
剃刀刀片刮除术使用略微弯曲的经典剃刀刀片刮除皮肤病变的外生性部分以及真皮内结构直至乳头层的部分。然后可将其送去做病理检查。这种治疗方法对许多良性皮肤疾病具有治愈性。剃刀刀片技术的美容效果优于手术切除。剃刀刀片技术作为活检工具在诊断性质不明的皮肤肿物时很有用，尤其是在角化棘皮瘤中。该技术非常简单且成本低廉。然而，如果皮肤病变疑似恶性黑色素瘤，则应进行传统手术切除。刮除术不适用于恶性皮肤肿瘤。
