Indications and precautions for dermatopathological examination

I Objectives and indications of skin pathology examination:
 
1 To distinguish between inflammation and tumor.
 
2 To distinguish benign and malignant tumors.
 
3 Early detection of adverse transformation of lesions or precancerous lesions.
 
4 To diagnose skin diseases with certain characteristic pathological changes such as skin tumors, connective tissue diseases, herpetic diseases, infectious and non-infectious granulomas, immune abnormalities, vascular, metabolic, metamorphic, viral and some genetic skin diseases. Wang Shangkai, Department of Pathology, Fengqiu County People’s Hospital
 
5 Prompt for further other examinations or relationship with other diseases of the whole body.
 
6 For difficult and rare cases, look for diagnostic clues through skin pathology and other examinations.
 
II Precautions.
 
1 Avoid contact with water and minimize sweating after biopsy.
 
2 If there is bleeding, continuous compression should be given or the patient should be seen in hospital.
 
3 If there is infection, regular change of medication is required or visit the hospital.
 
3 Possible adverse reactions:
 
Bleeding, wound infection, delayed wound healing, scar formation, keloid growth.
 
D. About the dermatopathology report:
 
The pathology report may be diagnostic, suggestive or only non-specific and descriptive. In most cases, the pathology report needs to be combined with clinical and necessary ancillary tests to make a clinical diagnosis or further etiologic diagnosis. Considering the presence of junctional lesions, preexisting lesions, the representativeness of the sampling site and the dynamic course of the disease (which currently does not meet the diagnostic criteria), some cases require long-term follow-up or multiple biopsies to make a correct diagnosis.