Interpretation of surgical margins

Pathology of challenging melanocytic neoplasms. Diagnosis and Management. Christopher R. Shea, Jon A. Reed, Victor G. Prieto (Editors). Springer (2015)

Each of the procedures described above produces a specimen that can be assessed for adequacy of local therapy. Chapter 2 will address the reporting of melanocytic lesions including recommendations for adequacy of surgical margins. Surgical margins can be evaluated for most specimens regardless of biopsy/surgical technique. A microscope fitted with a calibrated ocular micrometer facilitates measurement of distance between the lesion and the surgical margin. Larger excisions may be measured with a ruler after marking the coverslip above the peripheral extension of the lesion under low magnification. These measurements may be reported directly or incorporated with a recommendation for further therapy based upon current consensus [9–19].


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