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Ultraviolet-fluorescent tattoo location of cutaneous biopsy site.

BACKGROUNDCutaneous biopsies often heal with little or no scarring. Prior studies have shown an alarming percentage of patients who incorrectly identify biopsy sites at the time of surgery. OBJECTIVETo investigate the safety and utility of an ultraviolet (UV)-fluorescent tattoo for biopsy site ident... Full description

Journal Title: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] March 2012, Vol.38(3), pp.479-483
Main Author: Chuang, Gary S
Other Authors: Gilchrest, Barbara A
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1524-4725 ; DOI: 10.1111/j.1524-4725.2011.02238.x
Link: http://search.proquest.com/docview/926504689/?pq-origsite=primo
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title: Ultraviolet-fluorescent tattoo location of cutaneous biopsy site.
format: Article
creator:
  • Chuang, Gary S
  • Gilchrest, Barbara A
subjects:
  • Adult–Pathology
  • Biopsy–Surgery
  • Carcinoma, Basal Cell–Prevention & Control
  • Coloring Agents–Pathology
  • Humans–Surgery
  • Male–Surgery
  • Medical Errors–Surgery
  • Microscopy, Fluorescence–Surgery
  • Preoperative Care–Surgery
  • Skin Neoplasms–Surgery
  • Tattooing–Surgery
  • Ultraviolet Rays–Surgery
  • Coloring Agents
ispartof: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], March 2012, Vol.38(3), pp.479-483
description: BACKGROUNDCutaneous biopsies often heal with little or no scarring. Prior studies have shown an alarming percentage of patients who incorrectly identify biopsy sites at the time of surgery. OBJECTIVETo investigate the safety and utility of an ultraviolet (UV)-fluorescent tattoo for biopsy site identification. MATERIALS AND METHODSA preclinical proof of concept was established with skin culture. An UV-fluorescent tattoo was applied to discarded neonatal foreskin in culture medium. The stability of the tattooed skin was examined clinically and histologically. One patient with a recurrent basal cell carcinoma in a difficult-to-identify location underwent tattoo application at the time of biopsy to demarcate the site. The patient was monitored for tattoo reaction and referred for surgical excision. RESULTSThe cultured tissue exhibited stable UV fluorescence with daily washing. Tissue histology demonstrated tattoo particles lining the skin edge under fluorescent microscopy. The patient was reluctant to undergo another surgical procedure and instead returned to our clinic at 3 months and 17 months after the biopsy for management of other tumors. The patient had no symptoms of allergic reaction to the tattoo dye. The fluorescent tattoo remains invisible under visible light and visible only under Wood's light. CONCLUSIONThe present study documents the utility of an UV-fluorescent tattoo to locate a biopsy site.
language: eng
source:
identifier: E-ISSN: 1524-4725 ; DOI: 10.1111/j.1524-4725.2011.02238.x
fulltext: fulltext
issn:
  • 15244725
  • 1524-4725
url: Link


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titleUltraviolet-fluorescent tattoo location of cutaneous biopsy site.
creatorChuang, Gary S ; Gilchrest, Barbara A
contributorChuang, Gary S (correspondence author) ; Chuang, Gary S (record owner)
ispartofDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], March 2012, Vol.38(3), pp.479-483
identifierE-ISSN: 1524-4725 ; DOI: 10.1111/j.1524-4725.2011.02238.x
subjectAdult–Pathology ; Biopsy–Surgery ; Carcinoma, Basal Cell–Prevention & Control ; Coloring Agents–Pathology ; Humans–Surgery ; Male–Surgery ; Medical Errors–Surgery ; Microscopy, Fluorescence–Surgery ; Preoperative Care–Surgery ; Skin Neoplasms–Surgery ; Tattooing–Surgery ; Ultraviolet Rays–Surgery ; Coloring Agents
descriptionBACKGROUNDCutaneous biopsies often heal with little or no scarring. Prior studies have shown an alarming percentage of patients who incorrectly identify biopsy sites at the time of surgery. OBJECTIVETo investigate the safety and utility of an ultraviolet (UV)-fluorescent tattoo for biopsy site identification. MATERIALS AND METHODSA preclinical proof of concept was established with skin culture. An UV-fluorescent tattoo was applied to discarded neonatal foreskin in culture medium. The stability of the tattooed skin was examined clinically and histologically. One patient with a recurrent basal cell carcinoma in a difficult-to-identify location underwent tattoo application at the time of biopsy to demarcate the site. The patient was monitored for tattoo reaction and referred for surgical excision. RESULTSThe cultured tissue exhibited stable UV fluorescence with daily washing. Tissue histology demonstrated tattoo particles lining the skin edge under fluorescent microscopy. The patient was reluctant to undergo another surgical procedure and instead returned to our clinic at 3 months and 17 months after the biopsy for management of other tumors. The patient had no symptoms of allergic reaction to the tattoo dye. The fluorescent tattoo remains invisible under visible light and visible only under Wood's light. CONCLUSIONThe present study documents the utility of an UV-fluorescent tattoo to locate a biopsy site.
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abstractBACKGROUNDCutaneous biopsies often heal with little or no scarring. Prior studies have shown an alarming percentage of patients who incorrectly identify biopsy sites at the time of surgery. OBJECTIVETo investigate the safety and utility of an ultraviolet (UV)-fluorescent tattoo for biopsy site identification. MATERIALS AND METHODSA preclinical proof of concept was established with skin culture. An UV-fluorescent tattoo was applied to discarded neonatal foreskin in culture medium. The stability of the tattooed skin was examined clinically and histologically. One patient with a recurrent basal cell carcinoma in a difficult-to-identify location underwent tattoo application at the time of biopsy to demarcate the site. The patient was monitored for tattoo reaction and referred for surgical excision. RESULTSThe cultured tissue exhibited stable UV fluorescence with daily washing. Tissue histology demonstrated tattoo particles lining the skin edge under fluorescent microscopy. The patient was reluctant to undergo another surgical procedure and instead returned to our clinic at 3 months and 17 months after the biopsy for management of other tumors. The patient had no symptoms of allergic reaction to the tattoo dye. The fluorescent tattoo remains invisible under visible light and visible only under Wood's light. CONCLUSIONThe present study documents the utility of an UV-fluorescent tattoo to locate a biopsy site.
doi10.1111/j.1524-4725.2011.02238.x
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issn10760512
date2012-03