Rapini R P
Department of Dermatology, Texas Technical University, Lubbock.
Dermatol Clin. 1994 Jan;12(1):83-91.
Skin biopsy specimens are interpreted by general pathologists and dermatologists, as well as by devoted dermatopathologists. Pitfalls of obtaining the biopsy specimen, grossing the specimen, evaluating the sections, and reporting the results are discussed on an advanced level. Controversial economic issues and government regulations are tackled, with respect to how they affect the final result. Last, several stereotypes of prototypical dermatologic surgeons and dermatopathologists are used to illustrate how practice patterns affect the accuracy of subjective skin biopsy specimen reports.
皮肤活检标本由普通病理学家、皮肤科医生以及专业的皮肤病理学家进行解读。文中深入讨论了获取活检标本、对标本进行大体检查、评估切片以及报告结果过程中可能出现的问题。同时探讨了有争议的经济问题和政府法规,以及它们如何影响最终结果。最后,通过一些典型皮肤科外科医生和皮肤病理学家的刻板印象,来说明实践模式如何影响主观皮肤活检标本报告的准确性。