Margins in skin excision biopsies: principles and guidelines

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

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.

Keywords: Inking; margins; skin excision biopsy.