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October 1961

The "Little Curette'': A Useful Adjunct in the Treatment of Epitheliomata

Author Affiliations


From the Department of Dermatology, Henry Ford Hospital, C. S. Livingood, M.D., Chairman.

Arch Dermatol. 1961;84(4):662-663. doi:10.1001/archderm.1961.01580160126025

The little curette has proved to be helpful in the curettage of epitheliomas, particularly of the basal-cell type. After the usual curettement with standard-sized instruments, it is well to curette carefully and firmly the base of the lesion with a curette having a 2 mm.-diameter cutting edge. A slightly increased pressure on the base of the wound is advisable, so that the instrument will fall into a pseudopod of friable tissue should one be present. A larger instrument will generally miss a narrow strand of malignant tissue, and chances of recurrence would be increased accordingly. If the little curette should penetrate deeply, then decision regarding the further management of the lesion could be made with the reasonable assumption that pathologic cells extended beyond the main treatment site.

The principle involved is quite simple—it is observed daily when we note that the large truck tire rides over a pot-hole in the

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