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皮肤切除活检的切缘:原则与指南

Margins in skin excision biopsies: principles and guidelines.

作者信息

Ranjan Richa, Singh Lavleen, Arava Sudheer K, Singh Manoj Kumar

机构信息

Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Dermatol. 2014 Nov;59(6):567-70. doi: 10.4103/0019-5154.143514.

DOI:10.4103/0019-5154.143514
PMID:25484385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4248492/
Abstract

Skin biopsies are usually undertaken to confirm a clinical diagnosis, to remove a lesion, and to determine the adequacy of excised tissue margin. A surgical margin is technically defined as the "edge" of the tissue removed. The term is especially pertinent when the tissue excised is suspected of being involved by a malignant process. One of the most important predictive and prognostic factors of a malignant lesion is whether the margins of the resected specimen are involved by the tumor or not. The purpose of this review is to provide an insight into grossing of a skin biopsy specimen with emphasis on techniques and reporting of excision biopsy margins.

摘要

皮肤活检通常用于确认临床诊断、切除病变组织以及确定切除组织边缘是否足够。手术切缘在技术上被定义为切除组织的“边缘”。当切除的组织疑似有恶性病变时,这个术语尤为重要。恶性病变最重要的预测和预后因素之一是切除标本的边缘是否被肿瘤累及。本综述的目的是深入探讨皮肤活检标本的取材,重点是切除活检边缘的技术和报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927b/4248492/746af5ecf462/IJD-59-567-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927b/4248492/02eaf8100dc5/IJD-59-567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927b/4248492/746af5ecf462/IJD-59-567-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927b/4248492/02eaf8100dc5/IJD-59-567-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/927b/4248492/746af5ecf462/IJD-59-567-g004.jpg

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本文引用的文献

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In search of the rainbow: colored inks in surgical pathology.寻找彩虹:外科病理学中的彩色墨水
Indian J Pathol Microbiol. 2012 Apr-Jun;55(2):154-7. doi: 10.4103/0377-4929.97843.
2
Surgical margins in lumpectomy for breast cancer--bigger is not better.乳腺癌保乳手术的手术切缘——并非越大越好。
N Engl J Med. 2012 Jul 5;367(1):79-82. doi: 10.1056/NEJMsb1202521.
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Variability in reexcision following breast conservation surgery.保乳手术后再次切除术的变异性。
JAMA. 2012 Feb 1;307(5):467-75. doi: 10.1001/jama.2012.43.
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Grossing biopsies: an introduction to general principles and techniques.大体标本活检:一般原则与技术介绍
Ann Diagn Pathol. 2009 Apr;13(2):106-13. doi: 10.1016/j.anndiagpath.2008.12.010.
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Guidelines for the management of basal cell carcinoma.基底细胞癌管理指南。
Br J Dermatol. 2008 Jul;159(1):35-48. doi: 10.1111/j.1365-2133.2008.08666.x.
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Inking a specimen without the mess.给标本染色,毫无脏乱。
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Excision margins for primary cutaneous melanoma: updated pooled analysis of randomized controlled trials.原发性皮肤黑色素瘤的切除边缘:随机对照试验的最新汇总分析
Arch Surg. 2007 Sep;142(9):885-91; discussion 891-3. doi: 10.1001/archsurg.142.9.885.
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Ann Surg. 2005 Apr;241(4):629-39. doi: 10.1097/01.sla.0000157272.04803.1b.
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Oral biopsies: methods and applications.口腔活检:方法与应用
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Surgical margins in patients with early-stage breast cancer treated with breast conservation therapy.接受保乳治疗的早期乳腺癌患者的手术切缘
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