Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma
Nodular amelanotic melanoma has been always a great challenge in dermatology. Because of lack of melanin pigment, tumors are diagnosed usually in advanced stage. Amelanotic melanoma can mimic basal cell carcinoma. Knowledge of typical dermoscopic structures helps to establish diagnosis and to plan s...
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Format: | Article |
Language: | English |
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Sciendo
2017-04-01
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Series: | Acta Medica Martiniana |
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Online Access: | https://doi.org/10.1515/acm-2017-0003 |
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author | Smolarova M. Minarikova E. |
author_facet | Smolarova M. Minarikova E. |
author_sort | Smolarova M. |
collection | DOAJ |
description | Nodular amelanotic melanoma has been always a great challenge in dermatology. Because of lack of melanin pigment, tumors are diagnosed usually in advanced stage. Amelanotic melanoma can mimic basal cell carcinoma. Knowledge of typical dermoscopic structures helps to establish diagnosis and to plan surgery with appropriate safety margins. In amelanotic melanoma we can see typical vessels, white streaks or milky red globules on pink-reddish background. Vessels are typically thin and polymorphous in thick amelanotic melanoma. We had a case when vessels were polymorphous but thick. It can be confusing with nodular basal cell carcinoma where vessels are typically thick and arborizing. Nodular basal cell carcinoma is the most common form of basal cell carcinoma. Dermoscopy is a valuable tool for the diagnosis of basal cell carcinoma. Typical dermoscopic structures are arborizing vessels, possible sites of ulceration and/or pigmentation. We describe a case report of patient with typical dermoscopic structures seen in nodular basal cell carcinoma. |
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spelling | doaj.art-d4238c4696d14a3d9887039edc9134f22022-12-22T04:05:03ZengSciendoActa Medica Martiniana1335-84212017-04-01171212710.1515/acm-2017-0003acm-2017-0003Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell CarcinomaSmolarova M.0Minarikova E.1Dermatovenerology Clinic, Prieloztek 1, 036 01 Martin, SlovakiaDermatovenerology Clinic, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava and University Hospital Martin, Martin, SlovakiaNodular amelanotic melanoma has been always a great challenge in dermatology. Because of lack of melanin pigment, tumors are diagnosed usually in advanced stage. Amelanotic melanoma can mimic basal cell carcinoma. Knowledge of typical dermoscopic structures helps to establish diagnosis and to plan surgery with appropriate safety margins. In amelanotic melanoma we can see typical vessels, white streaks or milky red globules on pink-reddish background. Vessels are typically thin and polymorphous in thick amelanotic melanoma. We had a case when vessels were polymorphous but thick. It can be confusing with nodular basal cell carcinoma where vessels are typically thick and arborizing. Nodular basal cell carcinoma is the most common form of basal cell carcinoma. Dermoscopy is a valuable tool for the diagnosis of basal cell carcinoma. Typical dermoscopic structures are arborizing vessels, possible sites of ulceration and/or pigmentation. We describe a case report of patient with typical dermoscopic structures seen in nodular basal cell carcinoma.https://doi.org/10.1515/acm-2017-0003dermoscopynodular amelanotic melanomabasal cell carcinoma |
spellingShingle | Smolarova M. Minarikova E. Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma Acta Medica Martiniana dermoscopy nodular amelanotic melanoma basal cell carcinoma |
title | Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma |
title_full | Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma |
title_fullStr | Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma |
title_full_unstemmed | Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma |
title_short | Dermoscopy as a Valuable Tool in Diagnosis of Nodular Amelanotic Melanoma and Nodular Basal Cell Carcinoma |
title_sort | dermoscopy as a valuable tool in diagnosis of nodular amelanotic melanoma and nodular basal cell carcinoma |
topic | dermoscopy nodular amelanotic melanoma basal cell carcinoma |
url | https://doi.org/10.1515/acm-2017-0003 |
work_keys_str_mv | AT smolarovam dermoscopyasavaluabletoolindiagnosisofnodularamelanoticmelanomaandnodularbasalcellcarcinoma AT minarikovae dermoscopyasavaluabletoolindiagnosisofnodularamelanoticmelanomaandnodularbasalcellcarcinoma |