Affordable Access

Clinical and dermatoscopic diagnosis of small pigmented skin lesions.

Authors
  • Bono, Aldo
  • Bartoli, Cesare
  • Baldi, Marzia
  • Tomatis, Stefano
  • Bifulco, Carlo
  • Santinami, Mario
Type
Published Article
Journal
European journal of dermatology : EJD
Publication Date
Jan 01, 2002
Volume
12
Issue
6
Pages
573–576
Identifiers
PMID: 12459531
Source
Medline
License
Unknown

Abstract

Small pigmented skin lesions represent a new challenge for all physicians devoted to the early diagnosis of melanoma. The purpose of this prospective study was to establish the diagnostic value of the clinical and the dermatoscopic examinations in a population of 157 consecutive patients with 161 small (< or = 6 mm) pigmented lesions, recruited in a short time. Of these 161 lesions, 13 were thin melanomas (median thickness 0.49 mm). In this population, clinical evaluation produced a diagnostic sensitivity of 77% and a specificity of 74%. Dermatoscopy resulted in a sensitivity of 77% and in a specificity of 72%. Combining clinical and dermatoscopic evaluations all the melanomas were preoperatively recognised. The results of the present study stress the complementary role of clinical and dermatoscopic examinations. In particular, clinical evaluation remains of utmost importance in diagnosing melanoma. This concept must be stressed in the education and training of young dermatologists.

Report this publication

Statistics

Seen <100 times