Complete circumferential peripheral and deep margin assessment: Difference between revisions

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| name = Complete circumferential peripheral and deep margin assessment
| synonym =
| image = Image:Margin Controlled Bread Loaf.svg|thumb|
| caption = Pictogram of Margin Controlled Histology (CCPDMA)
| alt =
| pronounce =
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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. Some surgeons send the specimen out for processing, and the result of the surgical margin assessment may not made until days later.<ref>Kimyai-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.svg|thumb|Pictogram of Margin Controlled Histology (CCPDMA)]]
<!-- Deleted image removed: [[Image:Actual Bread Loafing.jpg|thumb|Standard Bread Loafing Histology]] -->
[[Image:Smash Pie Pan.svg|thumb|Comparing [[Mohs Surgery]] Method to smashing an aluminum pie pan]][[Image:Mohsflattening2.svg|thumb|How a Mohs Section is flattened with relaxing incisions]]