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Simple
excision is used to remove a variety of dermal and epidermal
benign lesions. Sometimes, certain suspicious lesions are excised
for histopathological examination.
Various methods
of excision are:
- Shave
excision: For benign, pedunculated lesions
- Punch
excision: For well defined, spherical lesions
- Fusiform
excision: For irregularly shaped or large lesions
The procedure is
done under local anesthesia with aseptic precautions. For better
cosmetic results, the lesions should be excised along the skin
creases. Suturing is done with appropriate suture materials that
cause less tissue reaction.
Lesions that can
be removed by simple excision are:
- Seborrheic
keratosis
- Benign
melanocytic nevi
- Cutaneous
neurofibroma
- Cysts -
epidermoid, acne, sebaceous
- Other benign
tumors of the skin
Precautions:
- Look for
keloidal tendecy
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