Surgical pearl: the pendulum or "scoop" biopsy.

relatively unchanged over the last 10 years. Exophytic lesions are typically shaven, while deeper processes are sampled with a punch biopsy. However, we have found that these two techniques are often impractical and cumbersome in their application to some cutaneous morphologies.We introduce a technique which employs a punch biopsy-pen to perform a shave or “scoop” excision. This method is ideally designed for those lesions in which a deep shave is required, but a straight blade is awkward to apply flush with the skin surface.