Overview of Dermatopathologist | Treatments | Dermatology


What is a dermatopathologist?

A dermatopathologist is a doctor who practices in both dermatology and pathology. When your dermatologist sees a problem that worries you, he or she can biopsy, remove a piece of skin, and send it to a dermatologist to confirm the dermatological diagnosis.

Dermatopathology is the study of catenary diseases at the micro-level, which studies the possible causes of disorders of the skin, nails, or hair at the cellular level.

From a practical point of view, dermatology involves the microscopic examination, interpretation, and interpretation of biopsy samples obtained from the skin. It is usually performed by a general pathologist (may or may not have specific training in dermatology) or a dermatologist (a physician specially trained in dermatopathology, but who may not be fully trained in pathology). Dermatologists are usually trained in clinical dermatology.

Difference between a dermatologist and a dermatopathologist

A dermatologist is a doctor who specializes in diagnosing skin conditions through a physical exam, while a dermatopathologist and doctor can also diagnose conditions by studying skin samples.

Why they are important?

Some symptoms are common in many skin conditions, such as:

  • Flaky skin
  • Peeling skin
  • Redness
  • Swelling

It is important to know the specific disease-causing the specific symptoms. Some skin conditions, such as moles, can change their appearance and even lead to skin cancer.

The treatment of these diseases depends on an accurate diagnosis. As our skin doctors and dermatopathologists work together, we can coordinate test results and clinical trials. This allows each patient to create the best possible treatment plan.

When to visit a dermatopathologist?

The dermatopathologist is not the person you see in the room when you visit the dermatologist, but they are part of your health care team. If the dermatologist suspects skin cancer or the rash is not visually detectable, they will perform a biopsy. The person who examined the biopsy to make a diagnosis is a dermatopathologist.

Our dermatopathologists, dermatologists, and physicians communicate regularly about patient cases. This team approach will help us achieve our primary goal – to obtain accurate diagnoses and provide excellent patient care. Even if the patient is not seen in the office, we all have a good interest in the patient.


Patients often visit a dermatologist because they have new growth or rash. They may notice tumor growth, layered nodules, or pigmentary lesions that grow or change. Or they may experience rashes such as itching, burning, suffocation, sudden onset, or wrong onset.

The dermatologist will determine if it is appropriate to treat the problem beforehand without a biopsy (this means that we know what the problem is and it is not cancer). If we need more information, suspect cancer, or think we need a treatment like Mohs surgery, we will perform a biopsy.

After taking the biopsy, we send the sample to our dermatopathology lab, where our staff will collect the tissue and process it overnight. The sample is then cut into strips of skin thinner than the width of the red blood cell and placed on the slide.

A dermatopathologist examines the slide under the microscope to tell the dermatologist what disease process is occurring in the patient. The dermatologist can then change her treatment to suit the patient.

When it comes to skin cancer, prescribe the type of cancer treatment. Basal cell carcinoma (skin cancer treated with a minor in-office approach) is easy to diagnose but is similar to pigmentation and melanoma. The treatment of melanoma is completely different from basal cell carcinoma. Sometimes a biopsy reveals that the lesion is a pigmented melanoma that looks like a basal cell carcinoma.

If the patient is concerned about growth, whether it is basal cell carcinoma, squamous cell carcinoma, or melanoma, a biopsy will allow the dermatopathologist to identify and treat what type of cancer it is.

Dermatopathologists are also consulted to diagnose the rash. Most rashes are very similar when seen clinically. There are some treatments that dermatologists can try quickly without a biopsy. They often work; But at other times, indistinguishable rashes require specific and less common treatment.

A biopsy can help us identify what type of rash it is so that a dermatologist can correct treatment for that specific cause. While most rashes are due to conditions where the treatments are similar, other rashes are rare. The appearance of a rash in the area is also fatal. For example, T-cell lymphoma looks like a rash but not cancer, and we need a biopsy to diagnose it.

When your dermatologist needs a biopsy, your dermatopathologist will evaluate it to give you the most accurate diagnosis so that you can begin the best treatment for your condition.

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