Method and device, including a uniquely operative applicator, and
pharmaceutical compositions, for the controlled, non-surgical removal and
retrieval of cells from a variety of skin lesions and tissue surfaces are
disclosed. A synergistic effect of proteolytic digestion of the
intracellular matrix and "stripping" flow is achieved by treating a
defined area with a controlled, continuous stream of proteolytic enzyme
solution, causing gentle but effective tissue erosion. Isolated cells
from the skin lesion and/or tissue surface may be collected from the
protease solution stream for histological analysis and/or cell culture,
affording a method of "enzymatic biopsy". The protease solution may be
supplemented with anesthetics, coagulants, anticoagulants and antibiotics
to decrease the discomfort, erythema, bleeding, risk of infection and
scarring traditionally associated with surgical treatment of skin
lesions. Delivery of precise levels of catalytic activity is ensured by
controlled activation of stable, inactivated enzyme stock solutions and
powders shortly prior to application.