Complete circumferential peripheral and deep margin assessment: Difference between revisions

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'''CCPDMA''' is the [[acronym]] for "complete circumferential peripheral and deep margin assessment". It is the preferred method for the removal of certain [[cancer]]s, especially [[skin cancer]]s.<ref>http://wwwu.tsgh.ndmctsgh.edu.tw/commcpc/images/nccn/Non-Melanoma%20Skin%20Cancer-2007.pdf
</ref><ref>http://wwwu.tsgh.ndmctsgh.edu.tw/commcpc/images/nccn/dfsp%20NCCN%202004.pdf</ref>
 
A classical example of CCPDMA is [[Mohs surgery]]. Other examples of CCPDMA are found in classical [[pathology]] textbooks as techniques of cutting surgical specimens to allow the examination of the inferior and lateral margins of typically elliptical surgical specimens.
 
The first advantage of CCPDMA method is that it allows for the complete examination of the entire [[surgical margin]] of the specimen. The second advantage of CCPDMA is allowing the [[surgeon]] to remove only a very small [[surgical margin]]. As the CCPDMA surgery is frequently performed using [[frozen section]] pathology, immediate reporting of positive [[surgical margin]] is made, and the tumor can be completely removed in the same day. Traditional pathology processing is called "[[bread loafing]]", and only allows for the partial examination of the surgical margin. Many surgeon send the specimen out for processing, and the result of the [[surgical margin]] assessment is not made until days later. <ref>Kimyahi-Asadi A, et al. Dermatol Surg. 2007 Dec;33(12):1434-9; discussion 1439-41. Margin involvement after the excision of [[melanoma]] in situ: the need for complete en face examination of the surgical margins.</ref>
 
[[Image:Margin Controlled Bread Loaf.jpg|thumb|Pictogram of Margin Controlled Histology]]
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[[Image:FalseNegativeBreadLoaf.JPG|thumb|False Negative in Standard Bread Loafing Histology]]
[[Image:Smash Pie Pan.jpg|thumb|Comparing Mohs Method to Smashing an Aluminum Piepan]][[Image:Mohsflattening2.jpg|thumb|How a Mohs Section is Flattened with Relaxing Incisions]]
 
 
== References ==
 
<references/>
 
{{uncategorized|date=March 2010}}