Brandão Maria Luiza, Oliveira Lima Cíntia Maria, Moura Heloísa Helena, Ishida Cleide, Campos-do-Carmo Gabriella, Cuzzi Tullia, Ramos-E-Silva Marcia
Prof. Marcia Ramos-e-Silva, MD, PhD, Rua Dona Mariana 143 / C-32, 22280-020 Rio de Janeiro, Brazil;
Acta Dermatovenerol Croat. 2016 Jun;24(2):144-7.
Cutaneous melanoma may in some instances be confused with seborrheic keratosis, which is a very common neoplasia, more often mistaken for actinic keratosis and verruca vulgaris. Melanoma may clinically resemble seborrheic keratosis and should be considered as its possible clinical simulator. We report a case of melanoma with dermatoscopic characteristics of seborrheic keratosis and emphasize the importance of the dermatoscopy algorithm in differentiating between a melanocytic and a non-melanocytic lesion, of the excisional biopsy for the establishment of the diagnosis of cutaneous tumors, and of the histopathologic examination in all surgically removed samples.
在某些情况下，皮肤黑色素瘤可能会与脂溢性角化病相混淆，脂溢性角化病是一种非常常见的肿瘤，更常被误诊为光化性角化病和寻常疣。黑色素瘤在临床上可能类似于脂溢性角化病，应被视为其可能的临床模拟物。我们报告了一例具有脂溢性角化病皮肤镜特征的黑色素瘤病例，并强调了皮肤镜检查算法在区分黑素细胞性和非黑素细胞性病变、切除活检以确立皮肤肿瘤诊断以及对所有手术切除样本进行组织病理学检查方面的重要性。
