Perfecting the PunchLazareth, Victoria L.Journal of the Dermatology Nurses' Association: July-August 2011 - Volume 3 - Issue 4 - p 225-227 doi: 10.1097/JDN.0b013e31822770ca Feature Articles Abstract Author Information ABSTRACT A punch biopsy may be performed to obtain supplemental objective information that will aid in the diagnosis process. A punch excision may be performed to remove an atypical nevus in its entirety for pathology review or to remove a small epidermal inclusion cyst for cosmetic purposes. The purpose of this article is to review some fundamentals and present several procedural pearls to help dermatology nurse practitioners perfect their punch biopsy and punch excision technique. Victoria L. Lazareth, MA, MSN, NPC, DCNP, Graduate School of Nursing, Division of Dermatology, University of Massachusetts Memorial Medical Center, Worcester, Massachusetts. Correspondence concerning this article should be addressed to Victoria L. Lazareth, MA, MSN, NPC, DCNP, University of Massachusetts Memorial Medical Center, 281 Lincoln Street, Worcester, MA 01605. E-mail: firstname.lastname@example.org © 2011 Lippincott Williams & Wilkins, Inc.