eyelid may be biopsied for suspected neoplasia or inflammation.
should plan ahead. If they are resecting a neoplasm, are they performing
an incisional biopsy (just to discover the nature of the lesion)
or an excisional biopsy (which will require that the pathologist
check margins). Noting the indications for biopsy on the pathology
requisition slip may save the patient quite a bit of expense as one
need not check margins for an incisional biopsy.
eyelid neoplasms involve the mucocutaneous junction of the eyelid.
It is important that the histotechnician be certain that this landmark
be included in the sections and not inadvertently shaved off when
facing the block.
pathologist who is not accustomed to dissecting eyelid specimens should
remember that the mucocutaneous border of the eyelid must be represented
in the section plane. To check the lateral margins of resection, the
pathologist may wish to divide the specimen into at least thirds.
In the sketch below, the lateral resection margins are marked with
an asterisk (*).
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