Dermoscopy for early detection of facial lentigo maligna

M. Stante, V. Giorgi, I. Stanganelli, B. Alfaioli, P. Carli

Research output: Contribution to journalArticlepeer-review


Up until now, only lesions selected on the basis of their clinical atypia or which appear equivocal on naked eye examination have been shown to benefit from the use of dermoscopy. In our experience, dermoscopic evaluation of lesions located on the face may require a different approach, as a histopathological diagnosis of malignancy is not uncommon in clinically trivial lesions (i.e. lesions lacking the ABCD criteria for clinical suspicion). Moreover, at this site dermoscopy reveals specific criteria according to the particular histological architecture shown by sun-damaged skin. We report four cases of lentigo maligna (LM) of the face whose identification depended on dermoscopic examination which was performed routinely on all facial lesions, as the lesions did not show ABCD clinical criteria for malignancy. In our experience, the identification of early signs of malignancy by dermoscopy may indicate the excision of LM at an early phase, before the lesion is associated with the ABCD signs of melanoma. Dermatologists should avoid the mistake of immediately excluding a diagnosis of malignancy when examining an ABCD-negative pigmented skin lesion of the face.

Original languageEnglish
Pages (from-to)361-364
Number of pages4
JournalBritish Journal of Dermatology
Issue number2
Publication statusPublished - Feb 2005


  • Dermoscopy
  • Hutchinson's lentigo
  • Lentigo maligna
  • Melanoma
  • Skin cancer

ASJC Scopus subject areas

  • Dermatology


Dive into the research topics of 'Dermoscopy for early detection of facial lentigo maligna'. Together they form a unique fingerprint.

Cite this