Evaluation of the Occurence of Basal Cell Carcinoma Dermoscopic Structures with Possible Prediction of its Histological Type
Authors:
M. Smolárová
Authors‘ workplace:
Dermagal s. r. o., Martin, Slovenská republika vedoucí lékař MUDr. Markéta Smolárová
Published in:
Čes-slov Derm, 93, 2018, No. 3, p. 111-115
Category:
Dermatoscopy
Overview
The aim of the study was to determine dermoscopic structures of basal cell carcinoma for better diagnosis in clinical practice with possible prediction of its histological type. In total 115 dermoscopic images of histopathologically confirmed basal cell carcinomas were retrospectively evaluated for the presence of specific dermoscopic structures. Dermoscopic images were taken with the digital dermoscope Derm-Doc 2.3, during the diagnostic-therapeutic process at the outpatient skin department upon patients written consent from January 2012 until February 2017. The dermoscopic structures found in the most common types of basal cell carcinoma were evaluated. Arborizing vessels were common in nodular basal cell carcinomas, spoke wheel-like structures, maple-leaf-like structures and graybrown globules were common in the superficial forms. White shiny streaks and ulcerations were typical of mixed forms of the basal cell carcinoma. More accurate diagnosis with possible prediction of its histological type leads to correct therapy of this tumour.
Key words:
dermoscopy – dermoscopic structures – basal cell carcinoma
Sources
1. ALLEN, D. C. Histopathology reporting. Springer, 2000, s. 182.
2. ALTAMURA, D. et al. Dermatoscopy of basal cell carcinorma: morphologic variability of global and local features and accuracy of diagnosis. J. AM. Acad. Dermatol., 2010 Jan; 62(1): s. 67–75
3. BURGDORF, W., PLEWIG, G., WOLF, H. et al: Braun-Falco’s Dermatology. 3rd ed. Springer 2009, s. 1349–1353.
4. FABIANO, A., ARGENZIANO, G., LONGO, C. et al. Dermoscopy as an adjuvant tool for the diagnosis and management of basal cell carcinoma. Giornale italiano di dermatologia e venerologia, 2016;151(5): s. 530–534.
5. JOHR, R. H., STOLZ, W. Dermoscopy An Illustrated Self-Assesment Guide. 2nded. McGraw-Hill Education 2015, s. 9.
6. KIM, H. S., PARK, J. M., MUN, J. H. et al.Usefulness of Dermatoscopy for the Preoperative Assessment of the Histopathologic Aggressiveness of Basal Cell Carcinoma. Annals of Dermatology, 2015; 27(6): s. 682–684.
7. KITTLER, H. Dermatoscopy an algorithmic method based on pattern analysis. Facultas. wuv 2011, s. 201.
8. LALLAS, A., TZELLOS, T., KYRGIDIS, A. et al. Accuracy of dermoscopic criteria for discriminating superficial from other subtypes of basal cell carcinoma. Journal of the American Academy of Dermatology, 2014; 70(2): s. 303–311.
9. MENZIES, S. W. et al. Surface microscopy of pigmented basal cell carcinoma. Arch. Dermatol., 2000 Aug; 136(8): s. 1012–1016.
10. NAVARETTE-DECHENT, C., BAJAJ, S., MARCHETTI, M. A. et al. Association of Shiny White Blotches and Strands with Nonpigmented Basal Cell Carcinoma Evaluation of an Additional Dermoscopic Diagnostic Criterion. Jama Dermatology, 2016; 152(5): s. 546–552.
Labels
Dermatology & STDs Paediatric dermatology & STDsArticle was published in
Czech-Slovak Dermatology
2018 Issue 3
Most read in this issue
- Mastocytoses
- Evaluation of the Occurence of Basal Cell Carcinoma Dermoscopic Structures with Possible Prediction of its Histological Type
- Prurigo Pigmentosa – Case Report