By H. Peter Soyer MD FACD, Giuseppe Argenziano MD, Rainer Hofmann-Wellenhof MD, Iris Zalaudek MD
Dermoscopy: The necessities provides the sensible information you must grasp this powerful, more affordable, and not more invasive replacement to biopsy. Drs. Peter Soyer, Giuseppe Argenziano, Rainer Hofmann-Wellenhof, and Iris Zalaudek clarify all facets of acting dermoscopy and examining effects. With nearly 50% new medical and dermoscopic photographs, important pearls and checklists, and entry to the totally searchable textual content on-line at www.expertconsult.com, you should have every thing you want to diagnose past and extra accurately.
- Avoid diagnostic pitfalls via pearls that designate tips on how to correctly use dermoscopy and spotlight universal mistakes.
- Master all points of acting dermoscopy and examining the implications 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 snapshot gallery.
- Diagnose extra adequately utilizing the improved part on trying out instruments for additional advice on tricky cases.
- Gain a greater visible figuring out with nearly 50% new medical and dermoscopic photos that depict the looks of benign and malignant lesions and have arrows and labels to focus on very important manifestations.
Get greater diagnostic effects for much less by way of studying the best way to effectively practice dermoscopy with this moveable, to-the-point resource
Read Online 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
Checklist Asymmetry Atypical network Blue-white structures Total score 1 * Figure 54 Nevus This lesion is asymmetrical because the left side is not a mirror image of the right side. The line segments of the pigment network are not thick, dark, or branched; therefore, it is not atypical. Do not confuse the central hypopigmentation (asterisk) with blue-white structures. 29 DERMOSCOPY - The Essentials Checklist Asymmetry Atypical network Blue-white structures Total score 2 * * * Figure 55 Melanoma There are two strikingly positive features present here—asymmetry and blue-white structures.
There are also clear-cut areas with another variation on the theme of blue-white structures, namely, peppering (asterisks). Checklist Asymmetry Atypical network Blue-white structures Total score 2 Figure 34 Basal cell carcinoma The lower half of this lesion is not a mirror image of the upper half, and the right side is not a mirror image of the left side; therefore, this is an asymmetrical lesion. No pigment network is identified, but there are numerous blue-white structures seen throughout (circle).
Note the zone of homogeneous hypopigmentation (asterisks) in the center. This is not an area of regression that would be seen in melanoma. It is not bony-milky white. Four global patterns for melanocytic nevi Reticular pattern Globular pattern Homogeneous pattern Starburst pattern Figure 70 Nevus This dermoscopic picture is very worrying. The reticular pattern with eccentric hyperpigmentation dermoscopically simulates in situ melanoma arising in a pre-existing nevus. The upper right half of this lesion is characterized by a slightly atypical pigment network (arrows).