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2014, Number 3

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Gaceta Médica Espirituana 2014; 16 (3)

Accuracy of the dermatoscopic diagnosis for basal cell carcinoma in the Service of Dermatology. East-Colón Polyclinic. 2012

Fernández MM, Cabrera CM, García GR

Language: Spanish
References: 27
Page:
PDF size: 219.48 Kb.


ABSTRACT

Background: Dermoscopy is considered as an intermediate step between clinical and histopathology in the diagnosis of basal cell carcinoma, however it is unknown whether it is useful in the hands of a person who is specialized in the dermatoscope. Objective: To describe the epidemiological, clinical and dermatoscopic criteria of a series of cases with clinical diagnosis of basal cell carcinoma and evaluate the dermoscopy-histopathology accuracy. Methodology: A descriptive, observational, cross-sectional study was performed on 25 patients who attended the dermatology consultation with a clinical diagnosis of basal cell carcinoma, with a total of 36 lesions observed at which the technique of dermoscopy was undergone. In all cases a lesion biopsy was taken and the clinical and histopathologic correlation was performed. Results: There was a predominance of male gender, age 71 and skin phototype II. The lesions were preferentially located in the head and neck, prevailing high risk lesions. The most common clinical range was nodular and the highest dermoscopic confusion was pigmented. The most represented dermoscopic structures were multiple ovoid nests, arborescent vessels, maple leaves and ulceration. There was a correlation between dermoscopic and histological diagnosis. Conclusions: The diagnostic, dermoscopic-histopathologic accuracy was demonstrated what reinforces its previous utility at decision making.


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