By Ashfaq A Marghoob, Josep Malvehy, Ralph P Braun
Building on a profitable first version, this revised and prolonged Atlas of Dermoscopy demonstrates the cutting-edge of ways to take advantage of dermoscopy to observe and diagnose lesions of the surface, with a distinct emphasis on malignant epidermis tumours. With good over 1,500 images, drawings, and tables, the booklet has broad medical correlation with dermoscopic pictures, so readers can take pleasure in the additional merits of dermoscopy by means of evaluating the scientific morphology obvious with the bare eye with the corresponding dermoscopic morphology; broad illustrations from the picture collections of the world over famous specialists, who've years of expertise refining their suggestions; and broad schematic drawings to aid readers unmarried out the major constructions and styles to acknowledge within the dermoscopic images.
The moment version has vital new fabric on such themes as saw alterations among polarized and non-polarized dermoscopy, newly famous constructions and styles, sophisticated and revised feedback for development research, dermoscopy of the hair and nails, and the way to combine dermoscopy into normal medical perform. It additionally covers dermoscopically equivocal, fake unfavorable, and fake optimistic lesions; discusses extra symptoms for dermoscopy past dermis melanoma; and information universal checklists of standards and algorithms used to diagnose pores and skin lesions.
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Extra info for An Atlas of Dermoscopy, Second Edition
Ferrara, G. , 2005, Limitations of histopathologic analysis in the recognition of melanoma: a plea for a combined diagnostic approach of histopathologic and dermoscopic evaluation. Arch Dermatol, 141, 209–11. , Pehamberger, H. , 1987, In vivo epiluminescence microscopy of pigmented skin lesions. II. Diagnosis of small pigmented skin lesions and early detection of malignant melanoma. J Am Acad Dermatol, 17, 584–91. , 2002a, Color Atlas of Dermatoscopy, Berlin: Blackwell Wissenschafts-Verlag. , Schiffner, R.
12a Clinical image of a pigmented basal cell carcinoma. 13a Clinical image of a pigmented seborrheic keratosis. 13b Dermoscopy showing multiple milialike cysts (arrows), comedo-like openings (asterisks) and network-like structures (dotted areas) at the periphery, which are most noticeable in the right part of the lesion. The network like structures is created by ridges (gyri) and sulci. Examining the lesion clinically via side lighting can easily help identify network-like structures in a seborrheic keratosis and differentiate it from a pigment network encountered in a melanocytic lesion.
10a Clinical image of basal cell carcinoma. , 2000) Features Large blue-gray ovoid nests Arborizing telangiectasia Multiple blue-gray globules Ulceration Leaf-like structures Spoke-wheel-like structures a Sensitivity (%) 55 52 27 27 17 10 Specificity (%)b 97/99 77/92 87/97 87/97 100/100 100/100 The diagnosis of a pigmented BCC is made when a lesion lacks a pigment network and has one or more of the specific features tabled. This method gives a sensitivity of 93% and specificity of 89–92% for the diagnosis of pigmented BCC.