Dermoscopy, confocal laser microscopy, and hi-tech evaluation of vascular skin lesions: Diagnostic and therapeutic perspectives

Marta Grazzini, Ignazio Stanganelli, Susanna Rossari, Alessia Gori, Teresa Oranges, Anna Sara Longo, Torello Lotti, Pier Luca Bencini, Vincenzo De Giorgi

Research output: Contribution to journalArticlepeer-review

Abstract

Vascular skin lesions comprise a wide and heterogeneous group of malformations and tumors that can be correctly diagnosed based on natural history and physical examination. However, considering the high incidence of such lesions, a great number of them can be misdiagnosed. In addition, it is not so rare that an aggressive amelanotic melanoma can be misdiagnosed as a vascular lesion. In this regard, dermoscopy and confocal laser microscopy examination can play a central role in increasing the specificity of the diagnosis of such lesions. In fact, the superiority of these tools over clinical examination has encouraged dermatologists to adopt these devices for routine clinical practice, with a progressive spread of their use. In this review, we will go through the dermoscopic and the confocal laser microscopy of diagnosis of most frequent vascular lesions (i.e., hemangiomas angiokeratoma, pyogenic granuloma, angiosarcoma) taking into particular consideration the differential diagnosis with amelanotic melanoma.

Original languageEnglish
Pages (from-to)297-303
Number of pages7
JournalDermatologic Therapy
Volume25
Issue number4
DOIs
Publication statusPublished - Jul 2012

Keywords

  • angiosarcoma amelanotic
  • confocal microscopy
  • hemangioma
  • melanoma
  • pyogenic granuloma

ASJC Scopus subject areas

  • Dermatology

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