Dermoscopy of nonmelanocytic skin tumors

Aimilios Lallas, Zoe Apalla, Giuseppe Argenziano, Iris Zalaudek

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Dermoscopy is a widely accessible, inexpensive, and reliable noninvasive diagnostic tool that improves the accuracy of the clinical diagnosis of skin tumors. Most dermoscopic patterns correlate with specific histopathologic substrates. Accordingly, dermoscopy allows a better differentiation between specific subtypes of skin tumors. The common benign epithelial skin tumors, such as solar lentigo and actinic keratosis, typically display specific dermoscopic criteria, which allow their clinical recognition. The dermoscopic hallmark of all vascular tumors is a mixture of red-purple-blue at times black colors, which however present with different patterns. Adnexal tumors are generally considered as dermoscopic mimickers of basal cell carcinoma, but specific clues exist, facilitating the differential diagnosis. The sensitivity and specificity rate of dermoscopy in the diagnosis of basal cell carcinoma is reported to be 9 and 93 %, respectively. Dermoscopy reaches 98 % sensitivity and 95 % specificity in the diagnosis of actinic keratosis. Dermoscopy reaches 79 % sensitivity and 87 % specificity in the diagnosis of squamous cell carcinoma.

Original languageEnglish
Title of host publicationEuropean Handbook of Dermatological Treatments, Third Edition
PublisherSpringer Berlin Heidelberg
Pages1151-1165
Number of pages15
ISBN (Print)9783662451397, 9783662451380
DOIs
Publication statusPublished - Jan 1 2015

Keywords

  • Actinic keratosis
  • Adnexal tumors
  • Basal cell carcinoma
  • Dermoscopic patterns
  • Dermoscopy
  • Differential diagnosis
  • Lentigo
  • Merkel cell carcinoma
  • Squamous cell carcinoma
  • Vascular tumors

ASJC Scopus subject areas

  • Medicine(all)

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