Kreusch J, Rassner G
Universitäts-Hautklinik Tübingen.
Hautarzt. 1990 May;41(5):274-6.
Occasionally, in patients with pigmented skin lesions referred for epiluminescence microscopy (ELM) the lesions are deep black naevi that even experienced dermatologists suspect might be malignant melanomas. The surface of these lesions is abnormal, often scaly, but their general aspect is regular and not characterized by any gross asymmetry. Inspection by ELM reveals additional features, which, if present in a typical combination, indicate a benign lesion. One simple examination can be enough to exclude malignancy. Histological examination allows the diagnosis of lentiginous junctional naevocytic naevi. Two typical cases are presented.
偶尔，在因皮肤色素沉着病变而接受表皮透光显微镜检查（ELM）的患者中，病变为深黑色痣，即使是经验丰富的皮肤科医生也怀疑可能是恶性黑色素瘤。这些病变的表面异常，通常有鳞屑，但总体外观规则，没有明显的不对称性。通过ELM检查可发现其他特征，如果这些特征以典型组合出现，则表明病变为良性。一次简单的检查就足以排除恶性病变。组织学检查可诊断为雀斑样交界性痣细胞痣。本文介绍了两个典型病例。
