Double blade scalpel: an option for use in the spaghetti technique for Mohs surgery with paraffin embedded sections for lentigo maligna
DOI:
https://doi.org/10.35509/01239015.705Keywords:
Hutchinson’s melanotic freckle, Mohs surgery, excision marginsAbstract
The surgical approach to lentigo maligna is a challenge for dermatologists, given the difficulty in delimiting the edges of the lesion. The excision of visible borders with the spaghetti technique and paraffin-embedded sections has been used in the surgical management of lentigo maligna for a histopathological analysis of the edges before definitive tumor resection. The double-blade scalpel technique is proposed to optimize surgical time and obtain a more homogeneous sample, using the already available materials without increasing costs.
Author Biographies
Leonardo Pulido- Prieto, Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
Ángel O. Jaimes, Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
2. Facultad de Medicina, Universidad Militar Nueva Granada, Bogotá, D.C., Colombia.
Juan C. Barrera, Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
1. Unidad Funcional Dermatología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia.
2. Facultad de Medicina, Universidad Militar Nueva Granada, Bogotá, D.C., Colombia.
References
Barlow RJ, Ramnarain N, Smith N, Mayou B, Markey AC, Walker NPJ. Excision of selected skin tumours using Mohs’ micrographic surgery with horizontal paraffin-embedded sections. Br J Dermatol. 1996;135(6):911-17. https://doi.org/10.1046/j.1365-2133.1996.d01-1094.x
Sharma AN, Foulad DP, Doan L, Lee PK, Mesinkovska N. Mohs surgery for the treatment of lentigo maligna and lentigo maligna melanoma - a systematic review. J Dermatolog Treat. 2021;32(2):157-63. https://doi.org/10.1080/09546634.2019.1690624
Hazan C, Dusza SW, Delgado R, Busam KJ, Halpern AC, Nehal KS. Staged excision for lentigo maligna and lentigo maligna melanoma: A retrospective analysis of 117 cases. J Am Acad Dermatol. 2008;58(1):142-48. https://doi.org/10.1016/j.jaad.2007.09.023
Kimyai-Asadi A, Katz T, Goldberg LH, Ayala GB, Wang SQ, Vujevich JJ, et al. Margin involvement after the excision of melanoma in situ: The need for complete en face examination of the surgical margins. Dermatologic Surg. 2007;33(12):1434–41. https://doi.org/10.1111/j.1524-4725.2007.33313.x
Abide JM, Nahai F, Bennett RG. The meaning of surgical margins. Plastic and reconstructive surgery. 1984;73(3):492-96. https://doi.org/10.1097/00006534-198403000-00030
Ariza SA, Acosta de Hart A. Léntigo maligno: clínica, histopatología y tratamiento. Rev Asoc Colomb Dermatol. 2008;16(2):135-42. Disponible en: https://revistasocolderma.org/sites/default/files/volumen_16_numero_2_abril_junio_2008.pdf
Ariza SA, Acosta de Hart A, Rolon MC. Cirugía micrográfica de Mohs en parafina, otra alternativa para el lentigo maligno. Rev Colomb Cancerol. 2008;12(3):143–50. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/lil-504056
Johnson TM, Headington JT, Baker SR, Lowe L. Dermatologic surgery usefulness of the staged excision for lentigo maligna and lentigo maligna melanoma: The "square" procedure. J Am Acad Dermatol. 1997;37(5):758-64. https://doi.org/10.1016/s0190-9622(97)70114-2
Patel AN, Perkins W, Leach IH, Varma S. Johnson square procedure for lentigo maligna and lentigo maligna melanoma. Clin Exp Dermatol. 2014;39(5):570-6. https://doi.org/10.1111/ced.12363
Mateus MJ, Duarte V, Baptista C, Araujo C, Simão T, Piñeiro JM. Contoured technique for lentigo maligna. An Bras Dermatol. 2015;90(1):111–3. https://doi.org/10.1590/abd1806-4841.20153083
Ricketts D, Hartley J, Patterson M, Harries W, Hitchin D. An orthopaedic theatre timings survey. Ann R Coll Surg Engl. 1994;76(3):200-4. PMID: 8017817
Harders M, Malangoni MA, Weight S, Sidhu T. Improving operating room efficiency through process redesign. Surgery. 2006;140(4):509–16. https://doi.org/10.1016/j.surg.2006.06.018
Schultz BC, Roenigk, HH. The double scalpel and double punch excision of skin tumors. J Am Acad Dermatol. 1982;7(4):495–9. https://doi.org/10.1016/s0190-9622(82)70131-8
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