Gulia Andrea, Massone Cesare
F1000 Med Rep. 2012;4:11. doi: 10.3410/M4-11. Epub 2012 Jun 1.
Over the last 30 years dermatological approaches to diagnosis and management of melanocytic lesions have been revolutionized by the introduction of dermoscopy. Continuous improvements are being made in applying the technique, mostly in melanoma diagnosis, follow-up of melanocytic lesions and nevogenesis. Identification of new dermoscopic criteria, such as the dermoscopic island and the blue-black color for thin and nodular melanoma, respectively, further add two new weapons in the dermoscopical armamentarium for diagnosis of otherwise featureless melanoma. Recent advances show that short-term, 3-month, follow-up is the optimum time interval to identify minimal changes in initially featureless melanomas. Nevertheless, long-term follow-up is still useful for the recognition of changes in melanomas with a very low-rate of growth. Dermoscopy greatly improves diagnosis and early excision of melanomas and reduces the number of unnecessary excisions.
在过去30年里，皮肤镜的引入彻底改变了黑素细胞性病变的诊断和管理的皮肤病学方法。该技术的应用正在不断改进，主要体现在黑色素瘤诊断、黑素细胞性病变的随访和新生物形成方面。新皮肤镜标准的识别，如分别用于薄型和结节型黑色素瘤的皮肤镜下岛状结构和蓝黑色，进一步为诊断原本无特征性的黑色素瘤增添了两种新武器。最新进展表明，短期（3个月）随访是识别最初无特征性黑色素瘤微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慢的黑色素瘤的变化仍然有用。皮肤镜极大地改善了黑色素瘤的诊断和早期切除，并减少了不必要的切除数量。
