皮肤镜检查:区分良性和恶性肿瘤

Andrea Gulia, A. Brunasso, C. Massone
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引用次数: 9

摘要

皮肤镜检查在20世纪80年代中期迅速发展,成为许多国家公认的常规技术。皮肤镜检查使医生能够观察到肉眼无法看到的结构和颜色,将黑色素瘤的诊断准确率提高了35%。此外,皮肤镜检查允许增加诊断和切除黑色素瘤的数量,同时减少不必要的切除数量。新的数据不断获得,主要是关于黑色素瘤的诊断,黑素细胞病变的随访和新生。短期随访3个月是确定无特征黑色素瘤最小变化的最佳时间间隔。然而,长期随访对于识别生长速度极低的黑色素瘤的变化同样有用。在过去的几年里,大量关于皮肤镜检查的出版物已经出版。这篇综述的目的是总结最近在皮肤镜检查中最重要的进展。
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Dermoscopy: distinguishing malignant tumors from benign
Dermoscopy has dramatically developed, becoming a well-established routine technique in many countries in the mid-1980s. Dermoscopy allows physicians to observe structures and colors otherwise not visible to unaided eyes, increasing melanoma diagnostic accuracy by up to 35%. Moreover, dermoscopy allows for increases in the number of diagnosed and excised melanomas together with a reduction in the number of unnecessary excisions. New data are continuously acquired mostly on melanoma diagnosis, follow-up of melanocytic lesions and nevogenesis. Short-term 3-month follow-up is the optimum time interval for identifying minimal changes in featureless melanomas. Nevertheless, long-term follow-up is similarly useful for the recognition of changes in melanomas with very low rates of growth. In the last few years a huge number of publications on dermoscopy have been published. The aim of this review is to summarize the most important recent advances in dermoscopy.
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