Dermatoscopy of Non-Pigmented Skin Tumors Pink – Think – Blink PDF

Foreword xv
Preface xvii
Contributors xix
section
I TE I TEI TE
CHNINICAL ASPECTSTS
1 Physics of polarized and nonpolarized dermoscopy and digital photography 3
Michael A. Marchetti and Ashfaq A. Marghoob
Key features 3
Key management 4
References 4
2 I Instrument-dependent criteria 5
Alon Scope, Limor Selinger, and Harold S. Rabinovitz
Key points 5
Key feature 9
Key management 9
References 9
3 Metaphoric and descriptive language in dermoscopy: Lessons from
the cognitive sciences 11
Jason Giacomel, Iris Zalaudek, and Ashfaq A. Marghoob
Introduction: Metaphors in dermatology and dermoscopy 11
Descriptive terminology in dermoscopy 11
Schematic illustration 12
Visual metaphors 13
Synthesis: Seeking a clear, effective terminology in dermoscopy 13
Key features 14
Key management 14
References 15
4 How to perform dermoscopy of non-pigmented skin lesions 17
Jürgen Kreusch
Key features 17
Key management 17
Flowchart for diagnostic procedure 17
Key feature 18
Key management 18
section
II II II
DERMATOSTOSTOSCOPY OF NONNON -PIGMENTEENTEENTEENTED LESIONSESIONSESIONSESIONS ESIONS
5 How to assess a given non-pigmented lesion 21
Iris Zalaudek
Key features 21
Key management 21
References 21
6 Clinical assessment 23
Iris Zalaudek
Key features 23
Key management 23
7 Vascular morphologies 25
Iris Zalaudek
Key features 26
Key management 26
References 26
8 Vascular arrangements 27
Iris Zalaudek
Key features 27
Key management 27
Reference 28
9 S Specific patterns 29
Iris Zalaudek
Key features 29
Key management 29
References 31
10 Dermatoscopic clues in non-pigmented lesions 33
Cliff Rosendahl, Philipp Tschandl, and Harald Kittler
Summary and key features 33
Introduction 33
Deciding whether a lesion is raised 35
White clues 35
White lines 36
Surface keratin, dermatoscopic white circles, and structureless areas in
raised lesions 36
Other “non-vessel” clues to diagnosis 36
Vessel pattern analysis 37
Benign vascular patterns 37
Polymorphous vessels including a pattern of dots 38
Other vessel patterns 38
Flat lesions 39
Raised lesions 39
Combination of vessel clues with other non-vessel clues 39
References 39
11 The influence of tumor thickness on the vascular morphologies 41
Iris Zalaudek, Simonetta Piana, and Cesare Massone
Key features 41
Key management 41
References 42
section
III SIII SIII S III S
CIFIC DERMATOSTOSTOSCOPIC PATTETTETTERNSNS AND THEIEIR DIAGNOSTINOSTINOSTI NOSTIC SISIGNINIFICANCE
12 I Intradermal nevi (including Unna and Miescher types) 45
Rainer Hofmann-Wellenhof
Key feature 45
Key management 45
Clinical characteristics 45
Dermoscopic features 45
Clinical management 46
References 46
13 Clark nevi in fair skin types 47
Jürgen Kreusch
Key features 47
Key management 47
References 48
14 S Spitz nevi 49
Elvira Moscarella
Key features 49
Key management 49
Introduction 49
Dermoscopy 49
References 51
15 Atypical Spitzoid neoplasms (atypical Spitz nevi, atypical Spitz tumors, Spitzoid melanoma): A clinicopathological update 53
Gerardo Ferrara, Stefano Cavicchini, and Maria Teresa Corradin
Key features 53
Key management 53
References 59
16 N Nevi in patients with Bap1 germ line mutation, red-hair polymorphism,
and albinism 61
Susana Puig, Cristina Carrera, and Josep Malvehy
Key features 61
Key management 61
References 62
17 Amelanotic melanoma 63
Iris Zalaudek
Key features 63
Key management 63
Early amelanotic melanoma 64
Intermediate thickness amelanotic melanoma 64
Thick melanoma 65
References 66
18 Hypomelanotic melanoma 69
Giuseppe Argenziano
Key feature 69
Key management 69
References 72
19 Cutaneous melanoma metastases 73
Cristina Carrera, Susana Puig, and Josep Malvehy
Key features 73
Key management 73
References 76
20 S Sebaceous hyperplasia 77
Caterina Longo
Short explanatory text 77
Key features 77
Key management 77
References 78
21 S Seborrheic keratosis 79
Jason Giacomel
Seborrheic keratosis 79
Summary 79
Clear cell acanthoma 80
Summary 80
Large cell acanthoma 81
References 81
22 Dermatofibromas 83
Pedro Zaballos
Key features 83
Key management 83
References 84
23 Angioma, pyogenic granuloma, angiokeratoma 85
Elvira Moscarella
Introduction 85
Cherry angioma 85
Pyogenic granuloma 85
Angiokeratoma 86
References 87
24 Benign adnexal lesions 89
Pedro Zaballos
Key features 89
Key management 89
Sebaceous lesions 89
Follicular lesions 89
Eccrine and apocrine lesions 90
References 91
25 Basal cell carcinoma 93
Jason Giacomel
Key points 93
Introduction 93
Nodular basal cell carcinoma (nBCC) 93
Dermoscopic features 93
Superficial basal cell carcinoma (sBCC) 94
Dermoscopic features 94
Infiltrative basal cell carcinoma (iBCC) 94
Dermoscopic features 94
Fibroepithelial BCC 95
Dermoscopic features 95
Infundibulocystic BCC 96
Dermoscopic features 96
Basosquamous carcinoma 96
Dermoscopic features 96
Conclusion 97
References 97
26 Keratinocyte skin cancer 99
Iris Zalaudek
Introduction 99
Actinic keratosis 99
Bowen’s disease 99
Squamous cell carcinoma 99
References 102
27 Dermoscopy of cutaneous neuroendocrine (“Merkel cell”) carcinoma 103
Luc Thomas
Key features 103
Key management 103
Dermoscopy 104
Management 105
References 106
28 Malignant vascular, adnexal, and fibrous tissue tumors 107
Aimilios Lallas and Elvira Moscarella
Key feature 107
Key management 107
Malignant vascular tumors 107
Kaposi sarcoma (KS) 107
Angiosarcoma (AS) 107
Malignant tumors of the fibrous tissue 108
Dermatofibrosarcoma protuberans (DFSP) 108
Atypical fibroxanthoma (AFX) and malignant fibrous histiocytoma (MFH) 108
Malignant adnexal tumors 109
Sebaceous carcinoma 109
Trichilemmal carcinoma 109
Porocarcinoma 110
References 111
29 Clues for the differential diagnosis of inflammatory lesions
from tumoral lesions 113
Aimilios Lallas
Key features 113
Discoid lupus erythematosus (DLE) versus actinic keratosis 113
Psoriasis versus superficial basal cell carcinoma (sBCC) and Bowen’s disease (BD) 114
Dermatitis versus mycosis fungoides (MF) 114
References 115
30 Dermoscopy for assessing surgical margins 117
Aimilios Lallas
Key feature 117
Key management 117
References 118
31 Dermoscopy in the treatment decision (surgical vs. topical) 119
Zoe Apalla
Key features 119
Key management 119
References 120
32 Dermoscopy for treatment monitoring (recurrence vs. clearance) 123
Ketty Peris and Maria Concetta Fargnoli
Dermoscopic monitoring of medical treatments for nonmelanoma skin cancers 123
Key features 123
Key management 123
References 126
33 Diagnostic clues and management rules 127
Iris Zalaudek
Clues for diagnosing tumors showing dotted/coiled vessels 127
Clues for the management of nodular pink lesions 127
Clues for the differential diagnosis of flat non-pigmented tumors 127
Always obtain a histopathological diagnosis of a clinically and dermoscopically suspected diagnosis of pyogenic granuloma 128
Lesions with a polymorphous vascular pattern should always be considered suspicious and submitted for histopathological examination 128
If pigment is present, look at it first before assessing the vascular pattern 128
Clues to recognize melanoma mimicking nodular basal cell carcinoma 129
34 Confocal microscopy in the diagnosis and management of non-pigmented
skin tumors (which, when, and when not) 131
Caterina Longo, Elvira Moscarella, and Giovanni Pellacani
Key features 131
Key management 131
Introduction 131
Best indications 131
Limitations 131
Conclusions 132
References 133
Dermatoscopy of Non-Pigmented Skin Tumors Pink – Think – Blink PDF Ebook

Iris Zalaudek, MD, Division of Dermatology and Venerology, Medical University of Graz, Austria

Giuseppe Argenziano, MD, Skin Cancer Unit, Arcispedale S. Maria Nuova IRCCS Reggio Emilia, Italy

Jason Giacomel, MBBS, Skin Spectrum Medical Services, Perth, Australia