<span class="noprint plainlinks"><a class="external text" href="https://commons.wikimedia.org/w/index.php?title=Template:Tissue_selection_from_skin_excision_-_Description&amp;action=edit">edit</a></span><br>Tissue selection from skin excision in <a href="https://en.wikipedia.org/wiki/Gross_pathology" class="extiw" title="en:Gross pathology">gross pathology</a>. Top image shows recommended lines for cutting out slices to be submitted for further processing. Bottom image shows which side of the slice that should be put to <a href="https://en.wikipedia.org/wiki/Microtome" class="extiw" title="en:Microtome">microtomy</a>. Dashed lines here mean that either side could be used.
<table class="wikitable"><tbody><tr><th rowspan="2"></th>
<th colspan="3">Lesion size
</th></tr><tr><th>&lt;4 mm</th>
<th>4 - 8 mm</th>
<th>9 - 15 mm
</th></tr><tr><th>Benign appearance
</th>
<td>
<div class="thumb tright"><div class="thumbinner" style="width:222px;"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png" class="image"><img src="https://upload.wikimedia.org/wikipedia/commons/thumb/3/31/Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png/220px-Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png" decoding="async" width="220" height="222" class="thumbimage" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/3/31/Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png/330px-Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/3/31/Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png/440px-Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png 2x" data-file-width="1321" data-file-height="1334"></a>  <div class="thumbcaption"><div class="magnify"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_less_than_4_mm_with_benign_appearance.png" class="internal" title="Enlarge"></a></div><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_less_than_4_mm_with_well-defined_lesion.svg" class="mw-redirect" title="File:Tissue selection from skin excision less than 4 mm with well-defined lesion.svg">Raster (.svg) version available</a>.</div></div></div>
</td>
<td>
<div class="thumb tright"><div class="thumbinner" style="width:222px;"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png" class="image"><img src="https://upload.wikimedia.org/wikipedia/commons/thumb/d/dc/Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png/220px-Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png" decoding="async" width="220" height="221" class="thumbimage" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/d/dc/Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png/330px-Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/d/dc/Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png/440px-Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png 2x" data-file-width="1321" data-file-height="1327"></a>  <div class="thumbcaption"><div class="magnify"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_4-8_mm_with_benign_appearance.png" class="internal" title="Enlarge"></a></div><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_4-8_mm_with_well-defined_lesion.svg" class="mw-redirect" title="File:Tissue selection from skin excision 4-8 mm with well-defined lesion.svg">Raster (.svg) version available</a>.</div></div></div>
</td>
<td>
<div class="thumb tright"><div class="thumbinner" style="width:222px;"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png" class="image"><img src="https://upload.wikimedia.org/wikipedia/commons/thumb/7/72/Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png/220px-Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png" decoding="async" width="220" height="222" class="thumbimage" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/7/72/Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png/330px-Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/7/72/Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png/440px-Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png 2x" data-file-width="1321" data-file-height="1336"></a>  <div class="thumbcaption"><div class="magnify"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_lesion_9-15_mm_with_benign_appearance.png" class="internal" title="Enlarge"></a></div><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_9-15_mm_with_well-defined_lesion.svg" class="mw-redirect" title="File:Tissue selection from skin excision 9-15 mm with well-defined lesion.svg">Raster (.svg) version available</a>.</div></div></div>
</td></tr><tr><th>Suspected malignancy
</th>
<td><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png" class="image"><img alt="Tissue selection from skin excision with less than 4 mm suspected malignant lesion.png" src="https://upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png/220px-Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png" decoding="async" width="220" height="222" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png/330px-Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/4/4b/Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png/440px-Tissue_selection_from_skin_excision_with_less_than_4_mm_suspected_malignant_lesion.png 2x" data-file-width="1321" data-file-height="1336"></a>
</td>
<td><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png" class="image"><img alt="Tissue selection from skin excision with 4-8 mm suspected malignant lesion.png" src="https://upload.wikimedia.org/wikipedia/commons/thumb/e/e9/Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png/220px-Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png" decoding="async" width="220" height="222" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/e/e9/Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png/330px-Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/e/e9/Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png/440px-Tissue_selection_from_skin_excision_with_4-8_mm_suspected_malignant_lesion.png 2x" data-file-width="1321" data-file-height="1332"></a>
</td>
<td><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png" class="image"><img alt="Tissue selection from skin excision with 9-15 mm suspected malignant lesion.png" src="https://upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png/220px-Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png" decoding="async" width="220" height="220" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png/330px-Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/4/4c/Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png/440px-Tissue_selection_from_skin_excision_with_9-15_mm_suspected_malignant_lesion.png 2x" data-file-width="1321" data-file-height="1320"></a>
</td></tr></tbody></table><p>The entire specimen may be submitted if the risk of malignancy is high.
</p>
<ul class="gallery mw-gallery-traditional"><li class="gallerybox" style="width: 155px"><div style="width: 155px">
			<div class="thumb" style="width: 150px;"><div style="margin:38px auto;"><a href="//commons.wikimedia.org/wiki/File:Tissue_selection_from_skin_re-excisions.png" class="image" title="Tissue selection from skin re-excisions"><img alt="Tissue selection from skin re-excisions" src="https://upload.wikimedia.org/wikipedia/commons/thumb/2/29/Tissue_selection_from_skin_re-excisions.png/120px-Tissue_selection_from_skin_re-excisions.png" decoding="async" width="120" height="74" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/2/29/Tissue_selection_from_skin_re-excisions.png/180px-Tissue_selection_from_skin_re-excisions.png 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/2/29/Tissue_selection_from_skin_re-excisions.png/240px-Tissue_selection_from_skin_re-excisions.png 2x" data-file-width="1761" data-file-height="1088"></a></div></div>
			<div class="gallerytext">
<p>Tissue selection from skin re-excisions
</p>
			</div>
		</div></li>
</ul>
<div class="thumb tright"><div class="thumbinner" style="width:137px;"><a href="//commons.wikimedia.org/wiki/File:Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_(crop).jpg" class="image"><img src="https://upload.wikimedia.org/wikipedia/commons/thumb/f/f1/Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg/135px-Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg" decoding="async" width="135" height="159" class="thumbimage" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/f/f1/Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg/203px-Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/f/f1/Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg/270px-Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_%28crop%29.jpg 2x" data-file-width="1439" data-file-height="1697"></a>  <div class="thumbcaption"><div class="magnify"><a href="//commons.wikimedia.org/wiki/File:Mikael_H%C3%A4ggstr%C3%B6m_at_pathology_in_2019_(crop).jpg" class="internal" title="Enlarge"></a></div><a href="//commons.wikimedia.org/wiki/User:Mikael_H%C3%A4ggstr%C3%B6m" title="User:Mikael Häggström">Mikael Häggström</a>, <a href="https://en.wikipedia.org/wiki/Medical_Doctor" class="extiw" title="en:Medical Doctor">M.D.</a> <a href="//commons.wikimedia.org/wiki/Mikael_H%C3%A4ggstr%C3%B6m" class="mw-redirect" title="Mikael Häggström">Author info</a><br> - <a href="//commons.wikimedia.org/wiki/User:Mikael_H%C3%A4ggstr%C3%B6m#Reusing_images" title="User:Mikael Häggström">Reusing images</a><br>- Conflicts of interest:<br>  None</div></div></div>
<a href="//commons.wikimedia.org/wiki/User:Mikael_H%C3%A4ggstr%C3%B6m" title="User:Mikael Häggström">Mikael Häggström</a>, <a href="https://en.wikipedia.org/wiki/Medical_Doctor" class="extiw" title="en:Medical Doctor">M.D.</a>
2019-10-23
<p><span class="noprint plainlinks"><a class="external text" href="https://commons.wikimedia.org/w/index.php?title=Template:Tissue_selection_from_skin_excision_-_Sources&amp;action=edit">edit</a></span><br><span class="int-own-work" lang="en">Own work</span>
</p>
<dl><dt>Source images</dt>
<dd></dd></dl><ul class="gallery mw-gallery-traditional"><li class="gallerybox" style="width: 155px"><div style="width: 155px">
			<div class="thumb" style="width: 150px;"><div style="margin:35px auto;"><a href="//commons.wikimedia.org/wiki/File:Normal_mole_with_border.jpg" class="image" title="Normal mole. Public Domain"><img alt="Normal mole. Public Domain" src="https://upload.wikimedia.org/wikipedia/commons/thumb/f/f9/Normal_mole_with_border.jpg/120px-Normal_mole_with_border.jpg" decoding="async" width="120" height="80" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/f/f9/Normal_mole_with_border.jpg/180px-Normal_mole_with_border.jpg 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/f/f9/Normal_mole_with_border.jpg/240px-Normal_mole_with_border.jpg 2x" data-file-width="2700" data-file-height="1800"></a></div></div>
			<div class="gallerytext">
<p>Normal mole. Public Domain
</p>
			</div>
		</div></li>
		<li class="gallerybox" style="width: 155px"><div style="width: 155px">
			<div class="thumb" style="width: 150px;"><div style="margin:35px auto;"><a href="//commons.wikimedia.org/wiki/File:Superficial_basal_cell_carcinoma.jpg" class="image" title="Superficial basal cell carcinoma. Public Domain"><img alt="Superficial basal cell carcinoma. Public Domain" src="https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Superficial_basal_cell_carcinoma.jpg/120px-Superficial_basal_cell_carcinoma.jpg" decoding="async" width="120" height="80" srcset="https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Superficial_basal_cell_carcinoma.jpg/180px-Superficial_basal_cell_carcinoma.jpg 1.5x, https://upload.wikimedia.org/wikipedia/commons/thumb/1/1a/Superficial_basal_cell_carcinoma.jpg/240px-Superficial_basal_cell_carcinoma.jpg 2x" data-file-width="4272" data-file-height="2848"></a></div></div>
			<div class="gallerytext">
<p>Superficial basal cell carcinoma. Public Domain
</p>
			</div>
		</div></li>
</ul><dl><dt>References</dt>
<dd></dd></dl><ul><li><a rel="nofollow" class="external text" href="http://www.svfp.se/foreningar/uploads/L15178/kvast/hud/Handlaggning%20av%20hudprover%20%20provtagningsanvisningar%20utskarningsprinciper%20och%20snittning%2020150325.pdf">Handläggning av hudprover – provtagningsanvisningar, utskärningsprinciper och snittning (Handling of skin samples - sampling instructions, cutting principles and incision</a>. <i>Swedish Society of Pathology</i>.<br>- For number of slices and coverage of lesions, depending on size.</li>
<li>Monica Dahlgren, Janne Malina, Anna Måsbäck, Otto Ljungberg. <a rel="nofollow" class="external text" href="http://www.svfp.se/stora_utskarningen">Stora utskärningen</a>. <i>KVAST (Swedish Society of Pathology)</i>. Retrieved on <span class="mw-formatted-date" title="2019-09-26">2019-09-26</span>.<br>- For slices towards the pointy ends to determine radicality, which can be parallel to the slices through the lesions (shown), or as longitudinal slices that go through each pointy end.</li>
<li><a rel="nofollow" class="external text" href="http://pathology.ucla.edu/workfiles/Education/Residency%20Program/Gross%20Manual/SkinExcisionLarge.pdf">Dermatopathology Grossing Guidelines</a>. <i>University of California, Los Angeles</i>. Retrieved on <span class="mw-formatted-date" title="2019-10-23">2019-10-23</span>.<br>- For microtomy of the most central side at the lesion</li>
<li><cite style="font-style:normal"> (2003). "<a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399331">The principles of mohs micrographic surgery for cutaneous neoplasia</a>". <i>Ochsner J</i> <b>5</b> (2): 22–33. <a href="https://en.wikipedia.org/wiki/PMID" class="extiw" title="w:PMID">PMID</a> <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pubmed/22826680">22826680</a>. <a href="https://en.wikipedia.org/wiki/PubMed_Central" class="extiw" title="w:PubMed Central">PMC</a>: <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399331">3399331</a>.</cite><br>- With a "standard histologic examination" that, in addition to the lesion, only includes one section from each side along the longest diameter of the specimen. <br>- It also shows an example of circular coverage, with equal coverage distance in all four directions. <br>- The entire specimen may be submitted if the risk of malignancy is high.</li></ul>