Related Experiment Video
Updated: Aug 8, 2026
Spatial and Temporal Control of Murine Melanoma Initiation from Mutant Melanocyte Stem Cells
Published on: June 7, 2019
Considering the role of shave excision in early melanoma diagnosis
Jim Muir1, Gabriela Gonzalez Matheus2, Daniel Lindsay3
1BHSc, MBBS, Medical Officer, Dermatology Department, Mater Hospital South Brisbane Raymond Terrace, South Brisbane, Qld; Mayne Medical School, Faculty of Medicine, The University of Queensland, Brisbane, Qld.
Background And Objectives:
Shave excisions are increasingly used in Australian clinical practice for melanoma diagnosis, yet concerns persist regarding margin involvement, diagnostic accuracy and cosmetic outcomes. This study assessed clinician perspectives on the estimated costs, logistics and outcomes of shave versus elliptical excision for melanoma diagnosis.
Method:
An anonymous online survey was distributed to 229 Australian general practitioners and dermatologists involved in skin cancer management. Data on procedure setting, equipment, follow-up, costs and clinical perceptions were analysed.
Results:
Clinicians reported shave excision as faster and less resource-intensive than elliptical excision, with higher rates of same-day procedures and reduced follow-up. Median estimated total cost per procedure was $753 for shave excision versus $1473- $1504 for elliptical excision. Users reported favourable cosmetic outcomes and low incidence of deep margin involvement when performed appropriately.
Discussion:
Shave excision is likely a cost-saving, diagnostically reliable method for selected lesions. Further prospective research and guideline updates are warranted.
