Instituto de Dermatologia Professor Rubem David Azulay, Hospital Santa Casa de Misericórdia do Rio de Janeiro, Rio de Janeiro, Brazil.
Dermatology Clinic, Maggiore Hospital, University of Trieste, Trieste, Italy.
Dermatol Ther. 2019 Sep;32(5):e13048. doi: 10.1111/dth.13048. Epub 2019 Aug 12.
The importance of dermoscopy for diagnosing lentigo maligna melanoma (LMM) is well known. More recently, dermoscopy has been proposed as a useful tool also for the treatment choice and monitoring. Herein, we present an 87-year-old woman, who was successfully treated with imiquimod 5% cream after surgical persistence of residual LMM and for whom dermoscopy was helpful to assist diagnosis and assess tumor persistence after surgery and its response to topical treatment with imiquimod.
皮肤镜检查对于诊断恶性雀斑样痣黑素瘤(LMM)的重要性已众所周知。最近,皮肤镜检查也被提议作为一种有用的工具,用于治疗选择和监测。在此,我们介绍一位 87 岁女性,她在 LMM 手术后仍有残余病灶,使用咪喹莫特 5%乳膏治疗后获得成功。皮肤镜检查有助于辅助诊断、评估手术切除后肿瘤的残留情况及其对咪喹莫特局部治疗的反应。