2004, Number 1
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Med Cutan Iber Lat Am 2004; 32 (1)
Dermoscopic Criteria in the Diagnosis of Melanoma
Zaballos P, Carrera C, Puig S, Malvehy J
Language: Spanish
References: 34
Page: 3-17
PDF size: 587.26 Kb.
ABSTRACT
The incidence of malignant melanoma has increased dramatically in most parts of the world over the past few decades. The clinical accuracy of diagnosing malignant melanomas is estimated to be about 75-80% for dermatologists and because the prognosis of melanoma depends almost entirely on tumor thickness, early detection of correspondingly thin melanomas is extremely important for the survival of patients. Dermoscopy or Epiluminiscence microscopy is an in vivo, non-invasive technique that has disclosed a new dimension of clinical morphology in pigmented skin lesions. This technique allows a better visualization of structures within the epidermis, the derma-epidermal junction and the superficial dermis. Previous studies have demonstrated that use of dermoscopy improves the clinical accuracy in diagnosing melanoma. The purpose of this revision is to describe the dermoscopic parameters and patterns associated with melanomas and the diagnostic algorithms that have been introduced with the aim to simplificate the diagnosis of melanoma.
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