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Skin Biopsy Techniques

You'll be able to select the appropriate biopsy technique for a given lesion and carry it out with correct specimen handling and wound care.

What this track covers

This track covers the three core skin biopsy methods used in primary care and dermatology: shave, punch, and excisional. It focuses on matching technique to lesion characteristics and location, plus the specimen handling and wound care steps that follow the procedure.

What you will practice

  • Choosing shave vs. punch vs. excisional biopsy based on lesion depth and suspicion
  • Selecting punch size and closure approach for a given site
  • Planning elliptical excision orientation and margins
  • Fixing, labeling, and orienting specimens for pathology
  • Recognizing post-biopsy wound care and follow-up red flags

Simulator scenario

A patient presents with a new, irregularly bordered pigmented lesion, and the clinician must choose and justify a biopsy technique, then manage the specimen and wound care plan.

Board question topics

  • Technique selection by lesion type
  • Punch biopsy sizing and closure
  • Excisional margin planning
  • Specimen handling and pathology communication

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