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The inadequacy of punch-excised melanocytic lesions: Sampling through the block for the determination of "margins"
Journal of the American Academy of Dermatology, 06/05/09

Chang TT et al. - Of punch excisions, 56% had positive margins. Importantly, 30% of these punch excised specimens were negative on initial levels but had positive margins after extensive sectioning, affirming that fusiform excisions are the preferred method to evaluate margins in melanocytic lesions.

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