# Shave & Saucerisation Biopsy

## Overview

This module describes how to perform a shave or saucerisation biopsy to sample the epidermis and superficial dermis. In a shave biopsy, a razor blade removes a superficial sample. In a saucerisation biopsy, a scalpel is used in a circular motion to cut a slightly conical disk of skin.

## Indications

## Contraindications

## Patient information and consent

Always verify your patient’s identity and obtain informed consent before proceeding.

### How do I explain this procedure?

“I need to take a sample of your skin lesion to find out what it is. The method is called a shave/saucerisation biopsy. I will use a small blade to shave off the upper layer of the skin. It will not need stitches.”

### What can my patient expect?

“I will give you an injection so that you will not feel me taking the sample. You may feel tugging and working in the area, but it will not be painful. The laboratory test may take a few days

or longer

or longer

Histology often takes 6 weeks for results. If urgent, call the pathologist directly to discuss and expedite.

, and we will then contact you about your diagnosis.”

### What is my patient’s role?

“Let me know if you have any allergies or a bleeding tendency, or use blood thinners. Fearing blood or needles is normal, but tell me if you have fainted from it. Keep still while I take the sample. Afterwards, keep the plaster on for at least a day.”

## Preparation

Prepare a trolley with equipment.

### Documentation

### Equipment

## Site and Positioning

The patient should be positioned reclining or supine with the lesion within easy reach.

## Procedure

Follow medical asepsis with non-sterile gloves.

## Risks

## References