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Dr Richard Carr

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Summary of Approach<br />

• Knowledge of clinical dermatology<br />

• Adequate clinical information<br />

– Clinical differential diagnosis<br />

– Clinical images<br />

• Appropriate biopsy type, lesion, fixation<br />

– IMF?, EM?, Frozen Sections?, Molecular?<br />

• Systematic approach to slides<br />

– Top to bottom<br />

– Algorithmic & Clues<br />

– Levels & specials<br />

– Weighted differential diagnosis<br />

• Clinicopathological conference<br />

– Repeat biopsy?<br />

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