Haliasos Helen C, Zalaudek Iris, Malvehy Josep, Lanschuetzer Christoph, Hinter Helmut, Hofmann-Wellenhof Rainer, Braun Ralph, Marghoob Ashfaq A
Division of Dermatology, Medical University of Graz, Graz, Austria.
Semin Cutan Med Surg. 2010 Dec;29(4):218-31. doi: 10.1016/j.sder.2010.10.003.
Dermoscopy is a noninvasive technique that enables visualization of subsurface colors and structures within the skin that are imperceptible to the naked eye. The dermatoscope allows the physician to examine both the macroscopic and microscopic primary morphology of skin lesions, identify subtle clinical clues, confirm naked-eye clinical diagnoses, and monitor treatment progress while posing little threat to the young patient. Dermoscopic findings have been formulated into diagnostic criteria that assist experienced clinicians in differentiating benign and malignant neoplasms. In this review, clinical morphology of melanocytic nevi and melanoma in the pediatric population is examined and the relevant dermoscopic findings and histopathologic correlates that aid in the diagnosis and management of these lesions are described.
皮肤镜检查是一种非侵入性技术,能够使肉眼无法察觉的皮肤表层下颜色和结构可视化。皮肤镜可让医生检查皮肤病变的宏观和微观主要形态,识别细微的临床线索,确认肉眼临床诊断,并监测治疗进展,同时对年轻患者几乎不构成威胁。皮肤镜检查结果已被制定为诊断标准,有助于经验丰富的临床医生鉴别良性和恶性肿瘤。在本综述中,我们研究了儿科人群中黑素细胞痣和黑色素瘤的临床形态,并描述了有助于诊断和处理这些病变的相关皮肤镜检查结果及组织病理学关联。