Dermatoscopy as a Helpful Tool in Plastic Surgeon’s Practice – A Preliminary Study
The aim of the study was to examine the utility of dermatoscopy in plastic surgeons’ practice in pigmented and non-pigmented skin lesions management. Material and methods. The examined group consisted of 68 patients with 132 lesions (50 women and 18 men) aged from 12 to 75 years (the mean: 47.2 years ± 16.9 years), who underwent dermatoscopy. Dermatoscopic photographs were analysed according to the ABCD and 7-point scales and then, a further treatment (surgical excision, electro resection or regular follow-up and observations) was planned. Results. The mean score of all lesions according to ABCD scale was 2.34 while in 7-point scale it was 0.62. In male and female groups the number of lesions and their ABCD and 7-point scale scores were similar (p>0.05). Histopathological examination revealed that all excised lesions were benign (compound melanocytic nevi) which corresponded with dermatoscopic evaluation. Conclusions. Dermatoscopy seems to be helpful in surgeons’ dealing with skin lesions practise and in many cases it enables to choose less invasive technique of lesions’ removal (electro resection), which gives better aesthetic results.
- Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski, firstname.lastname@example.org
- Department of Plastic, Reconstructive and Aesthetic Surgery, Institute of Surgery, Medical University in Łódź, Kierownik: prof. dr hab. B. Antoszewski
- Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital No 1 in Łódź; Kierownik: prof. dr hab. B. Antoszewski
- Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital No 1 in Łódź, Kierownik: prof. dr hab. B. Antoszewski
- 1. Vahedi A, Javed MU, Gorse SH: The use of dermatoscopy amongst plastic surgery trainees in the United Kingdom. J Plast Reconstr Aesthet Surg 2015; 68 (5): 111‑12.[WoS]
- 2. Townley WA , Cassell OC, Bowling J: Dermoscopy - time for plastic surgeons to embrace a new diagnostic tool? J Plast Reconstr Aesthet Surg 2011; 64 (10): 1386‑87.
- 3. Bowling J, Argenziano G, Azenha A et al.: Dermoscopy key points: recommendations from the international dermoscopy society. Dermatology 2007; 214 (1): 3‑5.
- 4. Henning JS , Dusza SW , Wang SQ et al.: The CASH (color, architecture, symmetry, and homogeneity) algorithm for dermoscopy. J Am Acad Dermatol 2007; 56 (1): 45‑52.[WoS]
- 5. Vestergaard ME, Macaskill P, Holt PE et al.: Dermoscopy compared with naked eye examination for the diagnosis of primary melanoma: a meta analysis of studies performed in a clinical setting. Br J Dermatol 2008; 159 (3): 669‑76.
- 6. Braun RP, Rabinovitz HS, Oliviero M et al.: Dermoscopy of pigmented skin lesions J Am Acad Dermatol 2005; 52 (1): 109‑21.
- 7. Bomm L, Benez MD, Maceira JM et al.: Biopsy guided by dermoscopy in cutaneous pigmented lesion - case report. An Bras Dermatol 2013; 88 (1): 125‑27.[WoS]
- 8. Al Jalbout S, Moscarella E, Longo C et al.: Dermoscopy should always be performed… even in clear-cut cases! J Am Acad Dermatol 2013; 69 (4): 159‑60.[WoS][Crossref]
- 9. Carli P, De Giorgi V, Chiarugi A et al.: Addition of dermoscopy to conventional naked-eye examination in melanoma screening: a randomized study. J Am Acad Dermatol 2004; 50: 683‑89.[Crossref]
- 10. Menzies SW : On reducing the need to excise nevi. Arch Dermatol 2011; 147 (1): 105‑06.[WoS]
- 11. Argenziano G, Catricalà C, Ardigo M et al.: Dermoscopy of patients with multiple nevi: Improved management recommendations using a comparative diagnostic approach. Arch Dermatol 2011; 147 (1): 46‑49.[WoS]
- 12. Kaminska-Winciorek G, Spiewak R: Tips and tricks in the dermoscopy of pigmented lesions. BMC Dermatol 2012; 12: 14.