What is the dermatologic preoperative evaluation and management of lesions?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

As the surgeon evaluates the lesion, several questions should come to mind:

  • Is the lesion near a critical structure?

  • Is the lesion at risk for recurrence?

  • If malignant, can adequate margins be taken? Is there evidence of metastasis?

  • How is the lesion positioned in relation to the resting skin tension lines?

  • What treatment and closure options are available?

  • Is there a preexisting abnormality?

  • How do previous surgical scars appear?

  • How is the patient's skin (eg, texture, laxity)?

These questions aid the surgeon in determining the optimal treatment and in directing the discussion with the patient


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