By H. Peter Soyer MD FACD, Giuseppe Argenziano MD, Rainer Hofmann-Wellenhof MD, Iris Zalaudek MD
Dermoscopy: The necessities offers the sensible suggestions you want to grasp this powerful, more cost-effective, and no more invasive replacement to biopsy. Drs. Peter Soyer, Giuseppe Argenziano, Rainer Hofmann-Wellenhof, and Iris Zalaudek clarify all points of appearing dermoscopy and studying effects. With nearly 50% new scientific and dermoscopic photographs, necessary pearls and checklists, and entry to the totally searchable textual content on-line at www.expertconsult.com, you will have every little thing you want to diagnose previous and extra accurately.
- Avoid diagnostic pitfalls via pearls that specify how you can effectively use dermoscopy and spotlight universal mistakes.
- Master all features of appearing dermoscopy and studying the consequences with easy-to-use "traffic gentle" structures and checklists for fast and powerful learning.
- Access the totally searchable textual content on-line at www.expertconsult.com, in addition to a downloadable photograph gallery.
- Diagnose extra safely utilizing the multiplied part on trying out instruments for additional counsel on tricky cases.
- Gain a greater visible figuring out with nearly 50% new scientific and dermoscopic pictures that depict the looks of benign and malignant lesions and have arrows and labels to spotlight vital manifestations.
Get higher diagnostic effects for much less via studying the right way to effectively practice dermoscopy with this transportable, to-the-point resource
Read or Download Dermoscopy: The Essentials: Expert Consult - Online and Print, 2e PDF
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Extra resources for Dermoscopy: The Essentials: Expert Consult - Online and Print, 2e
The lower half of the lesion does not mirror the upper half, thereby displaying subtle asymmetry. No pigment network or bluewhite structures are seen. Checklist Asymmetry Atypical network Blue-white structures Total score 1 Figure 30 Nevus The presence of a single criterion from the checklist is usually not sufficient to diagnose malignancy. Note the asymmetry of color and structure—the left side of the lesion is not a mirror image of the right side. An atypical pigment network and blue-white structures are absent.
Although it is very small, the dermoscopic asymmetry is striking. The pinkish color is an important clue that this could be a high-risk lesion. Because of its high-risk appearance, a lesion like this one warrants a second histopathologic opinion if it is signed out as a benign nevus as was the case here. 48 2 Reticular pattern Globular pattern Pattern analysis Four global patterns for melanocytic nevi Homogeneous pattern Starburst pattern Figure 91 Nevus One has to look carefully to recognize that this heavily pigmented nevus reveals a globular and not a homogeneous pattern in its central part.
40 2 Reticular pattern Globular pattern Pattern analysis Four global patterns for melanocytic nevi Homogeneous pattern Starburst pattern Figure 75 Nevus This is another example of a reticular-homogeneous nevus with an annular reticular pattern in the periphery and large central homogeneous hypopigmented area. The color of the hypopigmented area is not bony-white as observed in regressive melanoma, and because of the overall symmetry of this lesion, annual follow-up can be advised confidently by the novice dermoscopist.